Provider Demographics
NPI:1003399692
Name:VANDEMAN, LEANN (OT)
Entity Type:Individual
Prefix:
First Name:LEANN
Middle Name:
Last Name:VANDEMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 POST DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-1979
Mailing Address - Country:US
Mailing Address - Phone:317-890-7700
Mailing Address - Fax:317-890-4400
Practice Address - Street 1:2333 POST DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-1979
Practice Address - Country:US
Practice Address - Phone:317-890-7700
Practice Address - Fax:317-890-4400
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist