Individual
LEAH PRAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-P
Contact information
Practice address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511
Mailing address
91-1027 AAWA DR, EWA BEACH, HI 96706-3901
(248) 880-5303
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-126
ATCB REGISTRATION NUMBER
—
Enumeration date
03/29/2021
Last updated
03/29/2021
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