Individual
ANGELA NICOLLE LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 EMERSON ST NE, WASHINGTON, DC 20017-2354
(202) 903-8466
Mailing address
729 EMERSON ST NE, WASHINGTON, DC 20017-2354
(202) 903-8466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010000343
DC
Other
Enumeration date
06/13/2007
Last updated
08/10/2009
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