Provider Demographics
NPI:1235455254
Name:DARLING, LEANNE EDITH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:EDITH
Last Name:DARLING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5624 AUTUMN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-3262
Mailing Address - Country:US
Mailing Address - Phone:812-490-3007
Mailing Address - Fax:
Practice Address - Street 1:5624 AUTUMN RIDGE DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-3262
Practice Address - Country:US
Practice Address - Phone:812-490-3007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001038A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA677757OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
IN31001038AOtherINDIANA PROFESSIONAL LICENSING AGENCY OCCUPATIONAL THERAPY COMMITTEE