Individual
MR. ANTHONY JOSEPH LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7418
(757) 668-9111
Mailing address
1704 BURROUGHS RD, VIRGINIA BEACH, VA 23455-4314
(757) 226-0847
(757) 226-0847
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119003485
VA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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