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NPI Code Detail

MEDICARE: LEORA KOR OTR/L, CHT

MEDICARE: LEORA KOR OTR/L, CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational TherapistOT010001010DC
2225XH1200XHand Occupational Therapist07463MD
3225XH1200XHand Occupational Therapist46TR01185600NJ

General Provider Information

NPI Number : 1497134324
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEORA KOR OTR/L, CHT
Provider Business Mailing Address
First Line : 910 SYLVAN AVE STE 100
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 910 SYLVAN AVE STE 100
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3308
Country : US
Telephone Number : 201-569-2770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 03/20/2025

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Directions to “ LEORA KOR OTR/L, CHT” Practice Location

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