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Individual

MRS. MARISA CILENTO LEITNER

Active
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Individual

MRS. MARISA CILENTO LEITNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007722-1
NY
225X00000X
Occupational Therapist
056005282
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01635262
PROVIDER NUMBER
IL
Enumeration date
08/22/2006
Last updated
08/24/2020
About Stedi
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