Individual
LEANN M CARGILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
401 E FRONT ST STE 123, TYLER, TX 75702-8250
(903) 531-2581
Mailing address
1001 W SW LOOP 323, TYLER, TX 75701-9416
(903) 509-1313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
106193
TX
Other
Enumeration date
09/14/2007
Last updated
03/27/2020
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