Provider Demographics
NPI:1033104906
Name:ERLANGER, LEIGH ANN THATCHER (OT)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH ANN
Middle Name:THATCHER
Last Name:ERLANGER
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 1:7000 ATRIUM WAY
Mailing Address - Street 2:STE 6
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3917
Mailing Address - Country:US
Mailing Address - Phone:856-206-4500
Mailing Address - Fax:856-234-4241
Practice Address - Street 1:3115 ROUTE 38
Practice Address - Street 2:SUITE 300
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-9752
Practice Address - Country:US
Practice Address - Phone:856-273-8080
Practice Address - Fax:856-273-0633
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00007700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist