Individual
AMY LYNN LEETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
850 NELLIE ST, GREENFIELD, OH 45123-1567
(937) 981-2165
Mailing address
180 LUCY RD, LUCASVILLE, OH 45648
(937) 981-2165
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTA3420
OH
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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