Individual
MRS. JESSICA LECKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
Mailing address
8881 S CARROLLVILLE CIR, OAK CREEK, WI 53154-4262
(414) 588-1127
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4999-27
WI
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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