LEONARDA WALLACE

STATEN ISLAND, NY
NPI1174890396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  7629418)
Enumeration Date2011-11-17
Last Update Date2016-02-12
Business Address
Mrs. LEONARDA WALLACE OTR/L
218 EDGEGROVE AVE
STATEN ISLAND, NY 10312-3512
Phone number: 718-873-7713
Mailing Address
Mrs. LEONARDA WALLACE OTR/L
218 EDGEGROVE AVE
STATEN ISLAND, NY 10312-3512
Phone number: 718-873-7713
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