Healthcare Provider Details

I. General information

NPI: 1124692215
Provider Name (Legal Business Name): DONYA LEANNE MCLEOD OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27553 CASHFORD CIR
WESLEY CHAPEL FL
33544-6911
US

IV. Provider business mailing address

27553 CASHFORD CIR
WESLEY CHAPEL FL
33544-6911
US

V. Phone/Fax

Practice location:
  • Phone: 813-631-9700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number21808
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: