Individual
MRS. LEANNE LACHICA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
14032 TICONDEROGA CT, FONTANA, CA 92336-3518
(909) 697-6796
Mailing address
14032 TICONDEROGA CT, FONTANA, CA 92336-3518
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
26324
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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