Individual
ROBERT TYLER LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S NORTHPARK LN, JOPLIN, MO 64801-8499
(417) 623-4313
Mailing address
130 FARM ROAD 1043, PIERCE CITY, MO 65723-8501
(417) 393-6047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018035890
MO
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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