LARA VICTORIA LEACH

STILLWATER, OK
NPI1144725524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OK  1922)
Enumeration Date2018-03-27
Last Update Date2018-03-27
Business Address
LARA VICTORIA LEACH
814 S WALNUT ST
STILLWATER, OK 74074-4225
Phone number: 405-377-8255
Mailing Address
LARA VICTORIA LEACH
4514 CLASSEN CT
STILLWATER, OK 74075-1631
Phone number: 405-780-0172
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