Individual
MS. LINDA RUTH LEICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2254
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
796-26
WI
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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