Individual
MRS. BETHANY JO LEIBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1377 11TH STREET NW, CLINTON, IA 52732
(563) 823-0245
(563) 823-0264
Mailing address
1377 11TH STREET NW, CLINTON, IA 52732
(563) 823-0245
(563) 823-0264
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
01543
IA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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