Individual
ANDREW SCOTT LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
120 EASTGATE DR, WASHINGTON, IL 61571-9236
(309) 423-3111
Mailing address
10723 N HONEYCREEK LN, DUNLAP, IL 61525-8736
(309) 573-3197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014226
IL
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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