Individual
MR. STEPHEN VINCENT LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR, CHT
Contact information
Practice address
78 DAWSON VILLAGE WAY N STE 230, DAWSONVILLE, GA 30534-5642
(706) 265-3575
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009827
GA
225XH1200X
Hand Occupational Therapist
Primary
0119000943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08501858
MEDICARE-DME JURS C
VA
Enumeration date
10/24/2006
Last updated
05/06/2026
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