Individual
MARY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3933 SCOTSMOORE DR, FORT COLLINS, CO 80524-6417
(970) 416-5896
Mailing address
3933 SCOTSMOORE DR, FORT COLLINS, CO 80524-6417
(970) 416-5896
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1020535
CO
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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