Healthcare Provider Details

I. General information

NPI: 1164078846
Provider Name (Legal Business Name): LEAH S PIEPSZOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2019
Last Update Date: 08/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 W MICHELTORENA ST STE B
SANTA BARBARA CA
93101-4195
US

IV. Provider business mailing address

5649 W CAMINO CIELO
SANTA BARBARA CA
93105-9706
US

V. Phone/Fax

Practice location:
  • Phone: 805-253-2547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number20363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: