Mashburn, Leah

Mashburn, Leah is an sole proprietor health care provider with primary practice located at 1605 S Eucalyptus Ave Ste 200 , Broken Arrow OK 74012-5996. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mashburn, Leah can be contacted via phone (918) 608-1212.

Contact Information

Primary practice address
1605 S Eucalyptus Ave Ste 200 Broken Arrow OK 74012-5996
Phone: (918) 608-1212
Fax: (918) 289-2606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 5485 Oklahoma

Profile Details

NPI number 1861008195
LBN Legal business name Mashburn, Leah
Credentials MOT/ OTR,L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2020
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861008195 NPPES
Oklahoma Other 5485 OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION

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