Individual
MS. LEDA LYNN OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
166 DOGWOOD ST, AVINGER, TX 75630-8203
(203) 910-5537
Mailing address
166 DOGWOOD ST, AVINGER, TX 75630-8203
(203) 910-5537
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216189
TX
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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