Provider Demographics
NPI:1760705982
Name:YANKELOVE, LEAH BATSHEVA (OTR)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:BATSHEVA
Last Name:YANKELOVE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2903 FALLSTAFF RD UNIT 203
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3557
Mailing Address - Country:US
Mailing Address - Phone:301-221-9023
Mailing Address - Fax:
Practice Address - Street 1:2903 FALLSTAFF RD UNIT 203
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3557
Practice Address - Country:US
Practice Address - Phone:301-221-9023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06258225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist