Healthcare Provider Details

I. General information

NPI: 1356012918
Provider Name (Legal Business Name): LEANNE KAHLER OTR/L, MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEANNE PELOSO OTR/L, MOT

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N MILLER RD STE 150A
FAIRLAWN OH
44333-3713
US

IV. Provider business mailing address

4272 BRIDGEWATER PKWY APT 302
STOW OH
44224-6121
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-2240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT011739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: