Individual
MRS. KATHERINE MARIE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
711 RIVERSIDE DR, WASHOUGAL, WA 98671-7633
(360) 837-3138
Mailing address
711 RIVERSIDE DR, WASHOUGAL, WA 98671-7633
(360) 837-3138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001822
WA
225XN1300X
Neurorehabilitation Occupational Therapist
OT00001822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7683147
—
WA
Enumeration date
08/07/2007
Last updated
08/07/2007
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