Individual
CORTNEY BETH LEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2000
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4414
SC
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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