Individual
LEAH WOODS-BANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 LONGVIEW CT, NORTHVALE, NJ 07647-1317
(201) 577-4044
Mailing address
406 LONGVIEW CT, NORTHVALE, NJ 07647-1317
(201) 577-4044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
489340
NJ
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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