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Individual

LAURENA J LEONARD-REICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1925
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098654
BLUE CROSS & BLUE SHIELD
ME
01
OT1925
OT LICENSE
ME
01
P00364512
RAILROAD MEDICARE
ME
Enumeration date
06/20/2006
Last updated
09/30/2011
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