Individual
TARA LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-5000
Mailing address
13638 N 1ST ST, PHOENIX, AZ 85022-4708
(602) 489-4205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008776
AZ
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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