Individual
MRS. PATRICIA LORNA LEAKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23 LIBERTY WAY, NIANTIC, CT 06357-1030
(860) 739-4007
Mailing address
23 W MAIN ST, NIANTIC, CT 06357-2329
(860) 514-4348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001762
CT
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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