Individual
MRS. COLLEEN MARIE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTLRMSHS
Contact information
Practice address
1720 AZURE DR, WALL TOWNSHIP, NJ 07753-7129
(732) 687-5687
Mailing address
1720 AZURE DR, WALL TOWNSHIP, NJ 07753-7129
(732) 687-5687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00043700
NJ
Other
Enumeration date
06/16/2008
Last updated
03/10/2021
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