Individual
MR. JUAN MARTIN LECEA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
700 N. COLORADO BOULEVARD, #318, DENVER, CO 80206-4036
(866) 399-2990
(866) 906-6331
Mailing address
12436 VANCE JACKSON RD APT 1334, SAN ANTONIO, TX 78230-5995
(956) 645-7029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111873
TX
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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