Provider Demographics
NPI:1538485123
Name:MCGUIGAN, LEIGH A (OT)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:A
Last Name:MCGUIGAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:A
Other - Last Name:CORSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:26 MAYFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-9640
Mailing Address - Country:US
Mailing Address - Phone:609-709-6982
Mailing Address - Fax:
Practice Address - Street 1:281 MATHISTOWN RD
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-4066
Practice Address - Country:US
Practice Address - Phone:609-857-4141
Practice Address - Fax:609-296-2619
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2015-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00518000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist