| NPI | 1336565878 |
|---|---|
| Former Name | DANIELLE C LEADENDECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 2008026356) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |