Individual
GABRIELLE SOPHIA LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 2ND AVE RM 302, NEW YORK, NY 10022-2021
(212) 842-0080
(917) 591-8494
Mailing address
332 E 71ST ST APT 5B, NEW YORK, NY 10021-5295
(443) 771-0589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029695-01
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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