Healthcare Provider Details

I. General information

NPI: 1619871498
Provider Name (Legal Business Name): LEAH LYNN HOELSCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 WASHINGTON ST
VERSAILLES OH
45380-1345
US

IV. Provider business mailing address

641 WASHINGTON ST
VERSAILLES OH
45380-1345
US

V. Phone/Fax

Practice location:
  • Phone: 419-852-5332
  • Fax:
Mailing address:
  • Phone: 419-852-5332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number423448
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA007563
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: