Provider Demographics
NPI:1619396488
Name:DOWNEY, LEAH ANNE (MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:ANNE
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MS
Other - First Name:LEAH
Other - Middle Name:ANNE
Other - Last Name:SCHWEBKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:2399 ARIEL ST. N.
Mailing Address - Street 2:CHILDREN'S THERAPLAY, LLC
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109
Mailing Address - Country:US
Mailing Address - Phone:651-773-0354
Mailing Address - Fax:651-773-0371
Practice Address - Street 1:2399 ARIEL ST. N.
Practice Address - Street 2:CHILDREN'S THERAPLAY, LLC
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109
Practice Address - Country:US
Practice Address - Phone:651-773-0354
Practice Address - Fax:651-773-0371
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103957225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist