Individual
LYNSAY LEATHERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2630 OKLAHOMA AVE, WOODWARD, OK 73801-4010
(580) 256-2102
(580) 256-1410
Mailing address
107 3RD STREET, VICI, OK 73859
(405) 514-2805
(580) 256-1410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
03/11/2022
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