Individual
RANANA LEEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 7TH ST, LAKEWOOD, NJ 08701
(732) 789-2485
Mailing address
19 7TH ST, LAKEWOOD, NJ 08701-2857
(732) 789-2485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09117000
NJ
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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