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Individual

MONICA ANN LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
200 WILLOW ST, HARRISBURG, SD 57032
(605) 743-2567
Mailing address
200 WILLOW ST, HARRISBURG, SD 57032
(605) 743-2567

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0104
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5832380
SD
01
HP56111
HEALTH PARTNERS
SD
Enumeration date
03/26/2007
Last updated
10/07/2016
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