Organization
LEAP PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY CLARE SPEICHER SLP (OWNER-DIRECTOR)
(978) 420-8850
Entity
Organization
Contact information
Practice address
2106 MONARDA WAY, WAXHAW, NC 28173-7072
(978) 420-8850
Mailing address
2106 MONARDA WAY, WAXHAW, NC 28173-7072
(978) 420-8850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
10717
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
08/27/2021
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