Individual
JENNILEE LEBLANC RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 TURNPIKE ST, NORTH ANDOVER, MA 01845-6322
(781) 632-1082
Mailing address
1801 TURNPIKE ST, NORTH ANDOVER, MA 01845-6322
(781) 632-1082
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3474
MA
Other
Enumeration date
02/03/2014
Last updated
01/08/2019
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