Provider Demographics
NPI:1518345982
Name:HILLER, LEAH EVE TICKER (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:EVE TICKER
Last Name:HILLER
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 1:1137 S POINT VIEW ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2618
Mailing Address - Country:US
Mailing Address - Phone:214-662-9406
Mailing Address - Fax:
Practice Address - Street 1:1137 S POINT VIEW ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2618
Practice Address - Country:US
Practice Address - Phone:214-662-9406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16126225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist