ISAIAH SHANE LEONARD

HURRICANE, WV
NPI1548003551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C2469)
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
ISAIAH SHANE LEONARD
179 STATION PL
HURRICANE, WV 25526-6578
Phone number: 304-760-6300
Mailing Address
ISAIAH SHANE LEONARD
179 STATION PL
HURRICANE, WV 25526-6578
Phone number: 304-760-6300
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