RONALD LEACH

GILBERT, AZ
NPI1124273859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AZ  4244)
Enumeration Date2008-11-21
Last Update Date2008-11-21
Business Address
-- RONALD LEACH COTA/L
140 S GILBERT RD
GILBERT, AZ 85296-1016
Phone number: 480-558-5131
Mailing Address
-- RONALD LEACH COTA/L
1510 W SAND COVE DR
GILBERT, AZ 85233-6536
Phone number: