LUC DAY LEECH

POCATELLO, ID
NPI1811553050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1977)
Enumeration Date2019-05-14
Last Update Date2019-05-14
Business Address
LUC DAY LEECH OTR/L
1957 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-406-4067
Mailing Address
LUC DAY LEECH OTR/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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