NICHOLAS LEACH

PORT ORCHARD, WA
NPI1962197624
Other NameNICHOLAS CLARK DENNIS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  60666287)
Enumeration Date2023-04-10
Last Update Date2023-04-10
Business Address
Mr. NICHOLAS LEACH COTA/L
1605 WOODRIDGE DR SE
PORT ORCHARD, WA 98366
Phone number: 360-443-2399
Mailing Address
Mr. NICHOLAS LEACH COTA/L
1605 WOODRIDGE DR SE
PORT ORCHARD, WA 98366-3818
Phone number: 360-443-2399
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