Individual
LEAH WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
305 NE LOOP;820 BUSINESS TOWER 1, SUITE 200, HURST, TX 76503
(817) 292-8787
Mailing address
305 NE LOOP;820 BUSINESS TOWER 1, SUITE 200, HURST, TX 76503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211047
TX
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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