Individual
LEAH JANE KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
160 GREENE PLZ, RTS 21 & 79, WAYNESBURG, PA 15370-8142
(724) 852-2504
(724) 852-2547
Mailing address
625 LINCOLN AVE, SUITE 107 PROFESSIONAL PLAZA, CHARLEROI, PA 15022-2451
(724) 483-1673
(724) 483-0290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012459
PA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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