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Individual

MIRIAM LEEBHOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
205 W ENGLEWOOD AVE, TEANECK, NJ 07666-3526
(201) 357-0417
Mailing address
971 WILSON AVE, TEANECK, NJ 07666-1863
(818) 290-4532

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09204600
NJ

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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