Individual
MR. JEROME LE-AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
239 W PENNSYLVANIA AVE, SOUTHERN PINES, NC 28387-5430
(910) 695-3000
(910) 695-3010
Mailing address
239 W PENNSYLVANIA AVE, SOUTHERN PINES, NC 28387-5430
(910) 695-3000
(910) 695-3010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6703
NC
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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