Jack Leonard, COTA

NPI #1861883829 in Ludington, Michigan

Provider Information

NPI Number
1861883829
Entity Type
Individual
Name
Jack Leonard, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Feb 12, 2015
Last Updated
Feb 12, 2015

Practice Location

Address
1000 E TINKHAM AVE
ZIP Code
49431-1568
Phone
(231) 845-6291

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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