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NPI Code Detail

MEDICARE: LEAH HORST OTD, OTR/L

MEDICARE: LEAH HORST OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT23567FL

General Provider Information

NPI Number : 1811614829
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH HORST OTD, OTR/L
Provider Business Mailing Address
First Line : 5407 OXFORD MANOR CIR
Second Line :
City : LAKELAND
State : FL
Zip : 33810-4725
Country : US
Telephone Number : 863-838-1987
Fax Number :
Provider Business Practice Location Address
First Line : 520 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33801-5229
Country : US
Telephone Number : 863-268-2608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2022
Last Update Date : 10/21/2022

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Directions to “ LEAH HORST OTD, OTR/L” Practice Location

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