Provider Demographics
NPI:1760563589
Name:FAME, LEAH MORRISON (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MORRISON
Last Name:FAME
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:KAY
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OCCUPATIONAL THERAPI
Mailing Address - Street 1:844 WEST MAIN STREET
Mailing Address - Street 2:HEARTLAND REHABILITATION SERVICES
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153
Mailing Address - Country:US
Mailing Address - Phone:540-387-4311
Mailing Address - Fax:540-389-6212
Practice Address - Street 1:844 WEST MAIN STREET
Practice Address - Street 2:HEARTLAND REHABILITATION SERVICES
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153
Practice Address - Country:US
Practice Address - Phone:540-387-4311
Practice Address - Fax:540-389-6212
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000833225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist