LEIANNA WICHOWSKI

BROKEN ARROW, OK
NPI1225367766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2007004044)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: FL  OT13899)
Enumeration Date2009-12-11
Last Update Date2009-12-11
Business Address
-- LEIANNA WICHOWSKI OTR/L
5110 E DALLAS PL
BROKEN ARROW, OK 74014-2687
Phone number: 618-975-3047
Mailing Address
-- LEIANNA WICHOWSKI OTR/L
5110 E DALLAS PL
BROKEN ARROW, OK 74014-2687
Phone number: 618-975-3047