Individual
GLORIA E LEINBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
718 W 171ST ST, 22, NEW YORK, NY 10032-2827
(212) 795-5952
Mailing address
718 W 171ST ST, 22, NEW YORK, NY 10032-2827
(212) 795-5952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003480-1
NY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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