Individual
ARIEL DIANE LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
33 MATEO AVE, MILLBRAE, CA 94030-2037
(650) 689-5784
Mailing address
2081 WHITMAN WAY APT 424, SAN BRUNO, CA 94066-4087
(814) 490-6280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23670
CA
225X00000X
Occupational Therapist
—
CA
Other
Enumeration date
04/28/2022
Last updated
05/10/2022
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