Individual
KAYCE LEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-1139
Mailing address
400 S JENNINGS AVE APT 304, FORT WORTH, TX 76104-2337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118812
TX
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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