Individual
COURTNEY ROUSH LEACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
200 S RITCHIE AVE, RAVENSWOOD, WV 26164-1721
(304) 273-9385
Mailing address
23883 ROWE RD, RACINE, OH 45771-9731
(740) 247-2324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1260
WV
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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