Individual
MRS. DENISE REGINA LEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
91 MAIN ST, PLAISTOW, NH 03865-3012
(603) 382-3031
Mailing address
1776 STATE RD, ELIOT, ME 03903-1087
(207) 451-9120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0A936
ME
224Z00000X
Occupational Therapy Assistant
1442
MA
225X00000X
Occupational Therapist
2066
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A936
COTA
ME
01
—
1442
COTA
MA
01
—
2066
NEW HAMPSHIRE
NH
Enumeration date
04/02/2007
Last updated
07/20/2009
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