Individual
LEAH STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N WOODBURN DR, DOTHAN, AL 36303-1995
(334) 794-1000
Mailing address
209 GRITNEY RD, DALEVILLE, AL 36322-4691
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5168
AL
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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