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1104382449
DYLAN LEITNAKER
JOHNSON CITY, TN
NPI
1104382449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 6162)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
DYLAN LEITNAKER OTR/L
525 W OAKLAND AVE STE 205
JOHNSON CITY, TN 37604-1673
Phone number: 423-282-1700
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Mailing Address
DYLAN LEITNAKER OTR/L
203 ROY MARTIN RD
JOHNSON CITY, TN 37615-3125
Phone number:
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