Individual
MS. DONNA EILEEN LEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 493-2922
Mailing address
63 LINDA CIR, RINGGOLD, GA 30736-6714
(423) 227-2714
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2031
TN
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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