Individual
TIFFANY GABRIELLE LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2150 ROUTE 38, CHERRY HILL, NJ 08002-4302
(856) 667-4550
Mailing address
14 WALTON CT, SICKLERVILLE, NJ 08081-9206
(609) 567-4240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00438100
NJ
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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