Individual
TAMMY L LEAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2000 S ANDREWS RD, YORKTOWN, IN 47396-6812
(765) 759-5174
Mailing address
2000 S ANDREWS RD, YORKTOWN, IN 47396-6812
(765) 759-5174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001676A
IN
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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