Healthcare Provider Details

I. General information

NPI: 1457264558
Provider Name (Legal Business Name): BRANCHING OUT OCCUPATIONAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 HITCHING POST DR
WILMINGTON DE
19803-1913
US

IV. Provider business mailing address

126 HITCHING POST DR
WILMINGTON DE
19803-1913
US

V. Phone/Fax

Practice location:
  • Phone: 302-333-0676
  • Fax:
Mailing address:
  • Phone: 302-333-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. RENEE LEESON-FUCHS
Title or Position: OWNER
Credential: MA OTR/L
Phone: 302-333-0676