Individual
TRACEY LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Mailing address
14B AUBURN ST, PLAISTOW, NH 03865-2701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10573
MA
Other
Enumeration date
03/21/2015
Last updated
03/21/2015
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