Individual
TAMMY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
333 E WASHINGTON ST, SUITE 2000, WEST BEND, WI 53095-2585
(262) 335-4545
(262) 335-6827
Mailing address
333 E WASHINGTON ST, SUITE 2000, WEST BEND, WI 53095-2585
(262) 335-4545
(262) 335-6827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
263-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40728800
—
WI
Enumeration date
06/13/2008
Last updated
06/13/2008
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