Organization
LEAP OT, PT & SLP PLLC
Active
Other names
LEAP for Kids OT, PT & SLP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM SUSAN MAURO MS CCC SLP (OWNER/DIRECTOR)
(585) 797-9366
Entity
Organization
Contact information
Practice address
700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
(585) 797-9366
(585) 486-1230
Mailing address
700 COTTAGE BROOK LN, WEBSTER, NY 14580-8654
(585) 797-9366
(585) 486-1230
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009318-1
NY
Other
Enumeration date
12/28/2008
Last updated
03/07/2014
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