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Individual

NINA LEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
22502 SAMBAR LOOP, CHUGIAK, AK 99567-5377
(907) 726-4663
Mailing address
22502 SAMBAR LOOP, CHUGIAK, AK 99567-5377

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
03/13/2023
Last updated
03/13/2023
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