Individual
LEANN DEBOER AINSLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2505 S 37TH ST, TEMPLE, TX 76504-7103
(254) 298-7300
Mailing address
1010 BRILEY ST, GEORGETOWN, TX 78628-4015
(901) 301-0402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111573
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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