Individual
MS. JOHANNA G LEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAG, MBA, HTM
Contact information
Practice address
2409 CRESWELL RD, BEL AIR, MD 21015-6507
(410) 310-9752
Mailing address
2409 CRESWELL RD, BEL AIR, MD 21015-6507
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
11/18/2008
Last updated
09/30/2013
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