Individual
MRS. LEAHANNA ROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14 PARK AVE, PORT WASHINGTON, NY 11050-4009
(646) 334-7852
Mailing address
14 PARK AVE, PORT WASHINGTON, NY 11050-4009
(646) 334-7852
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
018023
NY
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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