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Individual

MISS PEGGY ANN LIESKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
Mailing address
2110 WOOSTER RD APT 4, ROCKY RIVER, OH 44116-2688
(419) 704-8029

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-5623
OH

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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