Individual
LEAH BIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
559 W LONGEST ST, PAOLI, IN 47454-9670
(812) 723-2595
Mailing address
559 W LONGEST ST, PAOLI, IN 47454-9670
(812) 723-2595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006077A
IN
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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