Individual
MRS. LAURA FORGENG LEICHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR,L
Contact information
Practice address
213 ARBORLEA AVE, YARDLEY, PA 19067-7409
(757) 812-8862
Mailing address
213 ARBORLEA AVE, YARDLEY, PA 19067-7409
(757) 812-8862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580641 0001
—
PA
Enumeration date
04/20/2007
Last updated
07/09/2007
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