Individual
LEAH THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 SUMMIT AVE, WAUKESHA, WI 53188-2946
(763) 689-5385
Mailing address
1036 SUMMIT AVE, WAUKESHA, WI 53188-2946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4493-026
WI
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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