Misti S. Leathers, M.S.,OTR/L

NPI #1326433855 in Bangor, Maine

Provider Information

NPI Number: 1326433855
Entity Type: Individual
Name: Misti S. Leathers, M.S.,OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: M.S.,OTR/L
Enumeration Date: Apr 1, 2015
Last Updated: Apr 1, 2015

Practice Location

Address: 28 GILMAN PLAZA
Address 2: C/O WATCH ME SHINE, INC.
City: Bangor
State: Maine
ZIP Code: 04401
Phone: (207) 990-0162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X

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