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Individual

LEANNA WERTHEIMER KATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTD, OTR/L

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2961
Mailing address
9 HAWTHORNE PL APT 15A, BOSTON, MA 02114-2330
(770) 656-1091

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011513
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011513
OCCUPATIONAL THERAPY LICENSE
MA
Enumeration date
12/06/2018
Last updated
12/06/2018
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