Individual
CHESLIE LEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
169 TEQUESTA DR, #24E, TEQUESTA, FL 33469-2768
(561) 747-8188
Mailing address
169 TEQUESTA DR, #24E, TEQUESTA, FL 33469-2768
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT17078
FL
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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