Individual
MR. LEO JOSEPH ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
122 LONGWOOD DR, STELLA, NC 28582-9671
(910) 326-1512
Mailing address
122 LONGWOOD DR, STELLA, NC 28582-9671
(910) 326-1512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6781
NC
Other
Enumeration date
06/28/2008
Last updated
06/28/2008
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