Provider Demographics
NPI:1568861938
Name:GRIFFITH, LEAH PATRICIA (OTR/L)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:PATRICIA
Last Name:GRIFFITH
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 1:10707 66TH ST N STE 14
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-2336
Mailing Address - Country:US
Mailing Address - Phone:727-547-8600
Mailing Address - Fax:727-548-6131
Practice Address - Street 1:10707 66TH ST N STE 14
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-2336
Practice Address - Country:US
Practice Address - Phone:727-547-8600
Practice Address - Fax:727-548-6131
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT15393225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist