Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0119000344 | VA |
NPI | 1003323817 |
---|---|
Provider Name | Therese Barnhart Leigh |
First Address | Harrisonburg, VA 22802-3701 |
Second Address | Harrisonburg, VA 22802-3701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2018 |
Last Update Date | 02/01/2018 |