Healthcare Provider Details

I. General information

NPI: 1467329011
Provider Name (Legal Business Name): LEAH URHAHN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 PROFESSIONAL PARK DR
CLARKSVILLE TN
37040-5257
US

IV. Provider business mailing address

851 PROFESSIONAL PARK DR
CLARKSVILLE TN
37040-5257
US

V. Phone/Fax

Practice location:
  • Phone: 951-542-2206
  • Fax:
Mailing address:
  • Phone: 931-542-2206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number8503
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: