Provider Demographics
NPI:1114633724
Name:LEAPS N BOUNDS, LLC
Entity Type:Organization
Organization Name:LEAPS N BOUNDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PANNUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:973-945-7292
Mailing Address - Street 1:5 BALSAM CT
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-1001
Mailing Address - Country:US
Mailing Address - Phone:973-945-7292
Mailing Address - Fax:
Practice Address - Street 1:5 BALSAM CT
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-1001
Practice Address - Country:US
Practice Address - Phone:973-945-7292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty