Individual
MRS. LEANNE KATHRYN DEPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9601 SUNNYOAK DR, RIVERVIEW, FL 33569-5635
(813) 870-0000
Mailing address
9601 SUNNYOAK DR, RIVERVIEW, FL 33569-5635
(813) 672-3272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884097100
—
FL
Enumeration date
02/13/2007
Last updated
10/29/2021
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