Individual
MS. JOANNE MARIE LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSM, OTR/L
Contact information
Practice address
7962 GUADIANA WAY, AVE MARIA, FL 34142-9596
(239) 220-6042
Mailing address
7962 GUADIANA WAY, AVE MARIA, FL 34142-9596
(239) 220-6042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 13531
FL
225XG0600X
Gerontology Occupational Therapist
OT 13531
FL
225XM0800X
Mental Health Occupational Therapist
OT13531
FL
Other
Enumeration date
04/09/2009
Last updated
06/27/2013
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