Individual
MRS. MARCIA M. LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
600 EDEN ROAD, BLGD. I, LANCASTER, PA 17601-4205
(717) 299-4829
(717) 295-3453
Mailing address
161 RIDINGS WAY, LANCASTER, PA 17601-7112
(717) 898-6064
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC00338L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018896130002
17
PA
Enumeration date
03/08/2007
Last updated
07/08/2007
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