Individual
JACK LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 E TINKHAM AVE, LUDINGTON, MI 49431-1568
(231) 845-6291
(231) 843-4121
Mailing address
1000 E TINKHAM AVE, LUDINGTON, MI 49431-1568
(231) 845-6291
(231) 843-4121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MI
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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