Provider Demographics
NPI:1477989192
Name:VOLK, LEONARD MICHAEL JR (OTR)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:MICHAEL
Last Name:VOLK
Suffix:JR
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 MILLER PICKING RD
Mailing Address - Street 2:
Mailing Address - City:HOLLSOPPLE
Mailing Address - State:PA
Mailing Address - Zip Code:15935-8914
Mailing Address - Country:US
Mailing Address - Phone:814-479-7516
Mailing Address - Fax:
Practice Address - Street 1:631 MILLER PICKING RD
Practice Address - Street 2:
Practice Address - City:HOLLSOPPLE
Practice Address - State:PA
Practice Address - Zip Code:15935-8914
Practice Address - Country:US
Practice Address - Phone:814-479-7516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012817225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist