Individual
WILLIAM LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2108 5TH STREET, BRIDGEPORT, TX 75501
(940) 683-0152
Mailing address
1009JEFFERSON ST, BOWIE, TX 76230
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209250
TX
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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