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Individual

ANDREANA LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
55 KONDRACKI LN, WALLINGFORD, CT 06492-4951
(203) 265-6771
Mailing address
3214 TOWN BROOKE, MIDDLETOWN, CT 06457-6610
(869) 906-6777

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1600
CT

Other

Enumeration date
07/13/2017
Last updated
07/13/2017
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