Provider Demographics
NPI:1336642602
Name:GSCHWEND, LEIGH ELIZABETH
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ELIZABETH
Last Name:GSCHWEND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 HIGHWAY 243 N
Mailing Address - Street 2:
Mailing Address - City:MARVELL
Mailing Address - State:AR
Mailing Address - Zip Code:72366-9746
Mailing Address - Country:US
Mailing Address - Phone:870-995-1301
Mailing Address - Fax:
Practice Address - Street 1:3803 HIGHWAY 243 N
Practice Address - Street 2:
Practice Address - City:MARVELL
Practice Address - State:AR
Practice Address - Zip Code:72366-9746
Practice Address - Country:US
Practice Address - Phone:870-995-1301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROT-A1325224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant