=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003606856
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CINDY ANN LEONARD-RODRIGUEZ OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2025
-----------------------------------------------------
Last Update Date | 05/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4198 JESTER LN
-----------------------------------------------------
City | DOYLESTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18902-9655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-462-0553
-----------------------------------------------------
Fax | 609-462-0553
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4198 JESTER LN
-----------------------------------------------------
City | DOYLESTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18902-9655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-462-0553
-----------------------------------------------------
Fax | 609-462-0553
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Occupational Therapist
-----------------------------------------------------
License Number | OC007236L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------