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Individual

MS. DINA B LEIGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.O.T.R.

Contact information

Practice address
1140 COLLEGE AVE LC COLLEGE POOL, C/O PE DEPT DR SPEARS, PINEVILLE, LA 71359
(318) 730-3632
(318) 487-0417
Mailing address
PO BOX 13251, ALEXANDRIA, LA 71315-3251
(318) 730-3632
(318) 487-0417

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
Z11380
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTT211380
OFFICE OF GROUP BENEFITS OF LA
LA
Enumeration date
05/24/2007
Last updated
03/11/2016
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