Provider Demographics
NPI:1497134324
Name:KOR, LEORA (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:LEORA
Middle Name:
Last Name:KOR
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:LEORA
Other - Middle Name:
Other - Last Name:HIRSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18109 PRINCE PHILIP DR STE 355
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:202-293-2262
Practice Address - Street 1:18109 PRINCE PHILIP DR STE 355
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1599
Practice Address - Country:US
Practice Address - Phone:301-260-3280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT010001010225XH1200X
MD07463225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand