Individual
MS. ASHLEY L LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 E ARMSTRONG AVE, PEORIA, IL 61603-3201
(309) 686-1177
(309) 686-7722
Mailing address
2404 E EMPIRE ST, BLOOMINGTON, IL 61704-3630
(309) 663-8275
(309) 662-7872
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008428
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370686250001
—
IL
Enumeration date
08/25/2008
Last updated
08/25/2008
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