Individual
MRS. LORA LYN LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
(360) 373-4934
Mailing address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
(360) 373-4934
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00003581
WA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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