Individual
JEAN LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
PO BOX 8939, LAKELAND, FL 33806-8939
(863) 617-9400
(863) 688-9858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9493
FL
Other
Enumeration date
04/21/2014
Last updated
09/09/2019
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