Leake, Ann D

Leake, Ann D is an individual health care provider with primary practice located at S4555 Hwy Ch , Reedsburg WI 53959-9711. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Leake, Ann D can be contacted via phone (608) 524-7511.

Contact Information

Primary practice address
S4555 Hwy Ch Reedsburg WI 53959-9711
Phone: (608) 524-7511
Fax: (608) 524-7599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 274027 Wisconsin

Profile Details

NPI number 1275700684
LBN Legal business name Leake, Ann D
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275700684 NPPES
Wisconsin MEDICAID 40671100

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