Healthcare Provider Details

I. General information

NPI: 1518884683
Provider Name (Legal Business Name): LEAH CATHERINE WAMBEKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 W 29TH AVE
DENVER CO
80211-3803
US

IV. Provider business mailing address

10127 W 100TH CT
WESTMINSTER CO
80021-5207
US

V. Phone/Fax

Practice location:
  • Phone: 303-458-1112
  • Fax:
Mailing address:
  • Phone: 801-725-5964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: