Individual
MRS. LEKESHA RENEE LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1075 US HIGHWAY 17 S, ELIZABETH CITY, NC 27909-7628
(252) 338-3975
Mailing address
426 WEDGEWOOD ARMS, GREENVILLE, NC 27858-5956
(252) 258-1142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6809
NC
Other
Enumeration date
07/27/2008
Last updated
07/27/2008
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