Individual
MR. KENNETH ERROL LEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 GREAT OAKS BLVD, MONTICELLO, FL 32344-5933
(850) 997-6060
(850) 997-6060
Mailing address
419 GREAT OAKS BLVD, MONTICELLO, FL 32344-5933
(850) 997-6060
(850) 997-6060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005022
GA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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