Individual
KYLEE LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 TOSCA TRL, APEX, NC 27502-9654
(435) 680-0768
Mailing address
999 TENDER DR, APEX, NC 27502-2407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14267
NC
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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