Individual
LORRIE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATES
Contact information
Practice address
220 BROADWAY, FORT EDWARD, NY 12828-1502
(518) 899-9235
(518) 899-9315
Mailing address
23 SITTERLY RD, HALFMOON, NY 12065-5613
(518) 899-9235
(518) 899-9315
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
006023-1
NY
Other
Enumeration date
10/26/2017
Last updated
04/14/2022
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