| NPI | 1457411662 |
|---|---|
| Former Name | MARY MARGARET LESCHKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI AA558015) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 1880-026) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 40717300) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |