Most Relevant Information
Provider Data
| NPI Number: | 1003268798 |
| Provider Name: | RAFAEL ANTONIO LEON OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT 1818 |
Most Important Dates
| Enumeration Date: | 07/06/2016 |
| Last Updated: | 03/19/2021 |
Provider Practice Location
1507 WOODLAND AVE
JOHNSON CITY
TN
376012635
Practice Location Phone/Fax
| Phone: | 4234405782 |
| Fax: |
Provider Mailing Location
1507 WOODLAND AVE
JOHNSON CITY
TN
376012635
Provider Mailing Phone/Fax
| Phone: | 4234405782 |
| Fax: |