Individual
JEANNIE LECONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(623) 547-3200
Mailing address
15430 W TURNEY AVE, GOODYEAR, AZ 85395
(623) 547-3200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047113
AZ
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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