Individual
MRS. JERILYN JEAN LECCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2312
(406) 375-4570
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2312
(406) 375-4570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1016
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016
OT LICENSE
MT
Enumeration date
08/09/2007
Last updated
08/06/2008
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