Individual
LAUREN DE LEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 SUSSEX DR, EMPORIA, VA 23847-6441
(434) 336-0907
Mailing address
700 STOCKTON ST APT 113, RICHMOND, VA 23224-4181
(571) 665-8005
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
VA
Other
Enumeration date
08/22/2018
Last updated
02/20/2024
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