Provider Demographics
NPI:1073884300
Name:CURLIS, LEAH RHEA (COTA)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:RHEA
Last Name:CURLIS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 BRAEBURN CT
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5748
Mailing Address - Country:US
Mailing Address - Phone:318-638-9934
Mailing Address - Fax:
Practice Address - Street 1:6015 BRAEBURN CT
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5748
Practice Address - Country:US
Practice Address - Phone:318-638-9934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTA.200001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility