Individual
JAYME LECCISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11825 W 64TH AVE, ARVADA, CO 80004-4307
(303) 284-7813
Mailing address
7088 TORREY ST, ARVADA, CO 80007-7664
(719) 963-1693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0003324
CO
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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