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Individual

THERESA LEYKAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4925 MERRICK RD, MASSAPEQUA, NY 11758-6201
(516) 308-5000
Mailing address
4925 MERRICK RD, MASSAPEQUA, NY 11758-6201

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002358-1
NY

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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