Individual
JENNIE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 UNION ST, MONTGOMERY, NY 12549-1021
(845) 656-6369
Mailing address
56 UNION ST, MONTGOMERY, NY 12549-1021
(845) 656-6369
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
P89434
NY
Other
Enumeration date
07/03/2013
Last updated
04/28/2015
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