Individual
PATRICK JOHN O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2929 5TH AVE NE, PUYALLUP, WA 98372-6782
(253) 447-8216
Mailing address
77 CAMPBELL ST, NEW HYDE PARK, NY 11040-1758
(516) 317-8580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
109592
TX
235Z00000X
Speech-Language Pathologist
Primary
LL60962862
WA
Other
Enumeration date
05/26/2015
Last updated
07/26/2019
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