Provider Demographics
NPI:1780631028
Name:LEAMAN, CAROL HELENE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:HELENE
Last Name:LEAMAN
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 1:1204 FLEETWOOD PLZ
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-8332
Mailing Address - Country:US
Mailing Address - Phone:828-693-0145
Mailing Address - Fax:828-693-0145
Practice Address - Street 1:1204 FLEETWOOD PLZ
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-8332
Practice Address - Country:US
Practice Address - Phone:828-693-0145
Practice Address - Fax:828-693-0145
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6934225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7302128Medicaid