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Individual

LEAH NICHOLE GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9379 FORESTWOOD LN, MANASSAS, VA 20110-4760
(703) 909-9332
Mailing address
12590 SPILLER LN, MANASSAS, VA 20112-8831
(401) 368-6006

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2008008558
MO
225XP0200X
Pediatric Occupational Therapist
Primary
0119010846
VA

Other

Enumeration date
07/31/2024
Last updated
03/26/2025
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