Individual
MRS. JENNIFER LINDE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.O.T.
Contact information
Practice address
14 ELLIS POTTER CT, SUITE 200, MADISON, WI 53711-2478
(608) 204-6246
Mailing address
14 ELLIS POTTER CT, SUITE 200, MADISON, WI 53711-2478
(608) 204-6246
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4633-026
WI
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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