Individual
JENNA LEADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
241 WESTCHESTER AVE, VERPLANCK, NY 10596
(914) 438-5760
Mailing address
241 WESTCHESTER AVE, VERPLANCK, NY 10596
(914) 438-5760
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA#64 009227
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA#64 009227
OTA LICENSE
NY
Enumeration date
02/27/2017
Last updated
02/28/2017
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