MEDICARE: LEAH REED OTR/L

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
1	225X00000X	Occupational Therapist	31003782A	IN
2	225X00000X	Occupational Therapist	KY-R2980	KY

General Provider Information

NPI Number	:	1760647440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH REED OTR/L

Provider Business Mailing Address
First Line	:	8408 PLUM VALLEY DR
Second Line	:
City	:	SELLERSBURG
State	:	IN
Zip	:	47172-9055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4212 CHARLESTOWN RD STE 3
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-9487
Country	:	US
Telephone Number	:	812-949-3272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	07/22/2008

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