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Individual

MR. ANTHONY DONNELL LEATHERS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
6090 MEDICI CT APT 205, SARASOTA, FL 34243-2203
(910) 273-6276
Mailing address
6090 MEDICI CT APT 205, SARASOTA, FL 34243-2203
(910) 273-6276

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13916
FL

Other

Enumeration date
02/23/2012
Last updated
02/23/2012
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