Individual
NIKKI LEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
Mailing address
948 E MAIN ST, HEGINS, PA 17938-9386
(570) 590-3631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007831
PA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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