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Individual

ERINN VICTORIA LEIB

Active
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Individual

ERINN VICTORIA LEIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OC010418
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
PA
01
TOC101218
TEMPORARY LICENCE FOR OT
PA
Enumeration date
08/27/2006
Last updated
11/09/2020
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