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Mr. Charles Richard Leidner, OTR
Specialist in Clearwater, Florida
NPI 1144558180

Charles Richard Leidner is a Specialist based in Clearwater, FL. Charles Richard Leidner practices in Clearwater, FL and has the professional credentials of OTR. The NPI Number for Charles Richard Leidner is 1144558180 and holds a License No. OT 4918 (Florida).

The current practice location address for Charles Richard Leidner is 3141 N Mcmullen Booth Rd, Clearwater, FL and can be reached out via phone at 727-723-7735 and via fax at 727-726-7696.

Location: 3141 N Mcmullen Booth Rd, Clearwater, FL, 33761-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144558180
Provider Name
Charles Richard Leidner
Credential
OTR
Provider Entity Type
Individual
Gender
Male
Address
3141 N Mcmullen Booth Rd, Clearwater, FL, 33761-2035
Phone Number
727-723-7735
Fax Number
727-726-7696
Provider Enumeration Date
12/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OT 4918 01 FL FLORIDA OT LICENSE
institution
Provider Business Practice Location Address Details
Address
3141 N Mcmullen Booth Rd
City
Clearwater
State
Florida
Zip
33761-2035
Phone Number
727-723-7735
Fax Number
727-726-7696
person
Provider Business Mailing Address Details
Address
3141 N Mcmullen Booth Rd
City
Clearwater
State
Florida
Zip
33761-2035
Phone Number
727-723-7735
Fax Number
727-726-7696
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OT 4918 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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