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General NPI Number Information
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NPI Number | 1235075631
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Entity Type | Organization
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Legal Business Name | LEAH CHARLSON PEDIATRIC OT LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 915 MONTGOMERY AVE STE 307
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City | PENN VALLEY
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State | PA
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Zip | 19072-1551
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Country | US
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Telephone | 610-574-2683
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Fax |
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Provider Business Mailing Address
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Address Line | 29 MERION RD
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City | MERION STATION
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State | PA
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Zip | 19066-1826
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Country | US
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Telephone | 610-574-2683
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OCCUPATIONAL THERAPY
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Name | MRS. LEAH CHARLSON
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Credential | OTR/L
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Telephone | 610-574-2683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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