Sophia Grace Leach
Occupational Therapy Assistant in Sikeston, MO. Individual provider (NPI-1).
NPI number1932016334
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1932016334
- Entity type
- Individual (NPI-1)
- Name
- Sophia Grace Leach
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2026
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
300 Floyd DrSikeston, MO 63801-3960
Phone 573-472-0397
Mailing address
438 Radcliff LnPoplar Bluff, MO 63901-8532
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All 24 Occupational Therapy Assistant providers in Sikeston · All 692 providers in Sikeston
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