Individual
CHERYL ANN LEPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 RUTHERFORD RD, GREENVILLE, SC 29609-3927
(864) 250-0005
(864) 250-0028
Mailing address
24 FORESTDALE DR, TAYLORS, SC 29687-3726
(864) 244-8924
(864) 250-0028
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
203
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0214
—
SC
Enumeration date
08/01/2006
Last updated
07/09/2007
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