Individual
PATRICIA LEAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1323 S ASH ST, BUFFALO, MO 65622-9311
(417) 345-2222
(417) 345-8446
Mailing address
1323 S ASH ST, BUFFALO, MO 65622-9311
(417) 345-2222
(417) 345-8446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2004028803
MO
225XP0200X
Pediatric Occupational Therapist
Primary
2020008569
MO
Other
Enumeration date
12/10/2008
Last updated
09/20/2021
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