Leianna Wichowski, OTR/L

NPI #1225367766 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1225367766
Entity Type: Individual
Name: Leianna Wichowski, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Dec 11, 2009
Last Updated: Dec 11, 2009

Practice Location

Address: 5110 E DALLAS PL
City: Broken Arrow
State: Oklahoma
ZIP Code: 74014-2687
Phone: (618) 975-3047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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