Provider Demographics
NPI:1396389201
Name:AHN, LEAH Y (OTR/L)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:Y
Last Name:AHN
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 1:435 W 31ST ST APT 58B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4728
Mailing Address - Country:US
Mailing Address - Phone:714-812-3482
Mailing Address - Fax:
Practice Address - Street 1:435 W 31ST ST APT 58B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4728
Practice Address - Country:US
Practice Address - Phone:714-812-3482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist