Jessica Terrell Leake

NPI 1336392844 - Occupational Therapist - 225X00000X

NPI Details
NPI 1336392844
Gender Female
Enumeration Date 10/28/2008
Last Updated 02/06/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
1900 MIDLAND TRL STE 1&2
SHELBYVILLE KY, 40065-8141, US
Phone (502) 633-1007
Fax
Business Location
1900 MIDLAND TRL STE 1&2
SHELBYVILLE KY, 40065-8141, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Kentucky
License Number T4005
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According to our database, Mrs. Jessica Terrell Leake NPI is 1336392844, taxonomy code is 225X00000X and license number is T4005, license state is located at Kentucky. Jessica Terrell Leake physically located at 1900 Midland Trl Ste 1&2, Shelbyville KY, 40065-8141. NPI Number Jessica Terrell Leake has the Individual type.

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1336392844 NPI number is provided on an as is basis without warranty of any kind. 1336392844 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Terrell Leake are for informational purposes only.