Doctor Name: | MRS. KATHERINE MARIE LEON |
NPI Number: | 1588855233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT/L |
License Number: | OT00001822 |
Business Practice Address: | 711 Riverside Dr Washougal, WA - 986717633 |
Business Phone Number: | 3608373138 |
Business Fax Number: | |
Mailing Address: | 711 Riverside Dr, WASHOUGAL |
State: | WA |
Postal Code: | 986717633 |
Phone Number: | 3608373138 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | OT00001822 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |