Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA N LEACH, PTA
Active Sole ProprietorMIRANDA N LEACH, PTA is a Occupational Therapist healthcare provider located in GREEN BAY, Wisconsin. NPI 1770185514 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GREEN BAY, WI
Registration Details
- NPI Number
- 1770185514
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2020 (5.7120736668327 yrs)
- Last Updated
- Nov 16, 2020
- License
-
3105-19 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2547 TROJAN DRGREEN BAY, WI, 543041436Browse WI providers · Browse ZIP 54304
- Phone
- 5737189947
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| TINA MEYER | — | 1982717898 |
| MRS. SALLY LYNN FORCEY | PTA | 1659480382 |
| MRS. SARA ANN ZELLNER | PTA | 1346359064 |
| ANN ELIZABETH MCKENNA | PTA | 1609967546 |
| TRACY LYNN VAN DE YACHT | PTA | 1710076716 |
| MRS. WANDA BERGELIN | PTA | 1265582191 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.