Provider Demographics
NPI:1417368341
Name:PEDIATRIC CONNECTIONS OCCUPATIONAL THERAPY SERVICES, P.A.
Entity Type:Organization
Organization Name:PEDIATRIC CONNECTIONS OCCUPATIONAL THERAPY SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LESHER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:132-575-8089
Mailing Address - Street 1:7235 W 162ND TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8238
Mailing Address - Country:US
Mailing Address - Phone:913-257-5808
Mailing Address - Fax:844-270-5788
Practice Address - Street 1:14878 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2206
Practice Address - Country:US
Practice Address - Phone:913-908-1148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02410225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty