Healthcare Provider Details

I. General information

NPI: 1447566732
Provider Name (Legal Business Name): TIFFANY LELEUX OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 09/01/2026
Certification Date:
Deactivation Date: 03/15/2017
Reactivation Date: 09/01/2026

III. Provider practice location address

2637 LAZY BEND ST
PEARLAND TX
77581-1006
US

IV. Provider business mailing address

2708 SUNNYCREEK LN
PEARLAND TX
77584-2793
US

V. Phone/Fax

Practice location:
  • Phone: 713-355-0623
  • Fax:
Mailing address:
  • Phone: 281-658-4405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number111805
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: