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Contact Information

REGINA M LEARY, COTA
261 FRENCH STREET
PESHTIGO, WI54157
 Phone: 715-582-2200
 Fax: 715-582-2222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for REGINA M LEARY · (Female)

NPI # 1295967743
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 08/18/2009
Last updated 09/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 741-27
  • WI Medicaid 40714600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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