Jacqueline Leeseberg, MS, OTR/L

NPI #1578107165 in St Charles, Illinois

Provider Information

NPI Number: 1578107165
Entity Type: Individual
Name: Jacqueline Leeseberg, MS, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: Nov 6, 2019
Last Updated: Nov 6, 2019

Practice Location

Address: 3815 E MAIN ST STE B
City: St Charles
State: Illinois
ZIP Code: 60174-2488
Phone: (630) 584-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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