Individual
MARISSA RAE LEONARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 W HOUSTON ST, NEW YORK, NY 10014-4804
(201) 951-6964
Mailing address
250 W HOUSTON ST, NEW YORK, NY 10014-4804
(201) 951-6964
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
020416
NY
Other
Enumeration date
09/21/2016
Last updated
12/02/2020
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