Individual
JENNA LEE LEUTHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
118 N 7TH AVE, SHELDON, IA 51201-1235
(712) 324-6160
Mailing address
629 8TH AVE, SHELDON, IA 51201-1655
(605) 413-7319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
121431
IA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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