Individual
JOHANN LEACH SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
20424 HAYSTACK CV, BRIARCLIFF, TX 78669-6441
(512) 261-3584
Mailing address
5412 TEXAS BLUEBELL DR, SPICEWOOD, TX 78669-6889
(817) 793-7105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1002033
TX
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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