Provider Demographics
NPI:1346519758
Name:LOWRANCE, LEAH NICOLE (COTA/L)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:NICOLE
Last Name:LOWRANCE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 GREEN RD
Mailing Address - Street 2:APT 104
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2814
Mailing Address - Country:US
Mailing Address - Phone:919-803-5792
Mailing Address - Fax:
Practice Address - Street 1:615 SPRING FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-9150
Practice Address - Country:US
Practice Address - Phone:919-876-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant