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Mytisha Kayla Leach, OTR/L Valid NPI

Individual provider · Occupational Therapist · East Hartford, CT

NPI
1063177806
Type
Individual (Type 1)
Primary specialty
Occupational Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225X00000X
License number
5793 (CT)
Sex
Female
Sole proprietor
Yes
Enumerated
2021-11-06
Last updated
2021-11-06
Practice location
30 Nutmeg Ln Apt 219
East Hartford, CT 06118-1211
(860) 878-0759

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