Provider Demographics
NPI:1821687484
Name:BAKER-SMITH, LEAH LAFAY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:LAFAY
Last Name:BAKER-SMITH
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 1:2008 DR MARTIN L KING JR WAY
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-2459
Mailing Address - Country:US
Mailing Address - Phone:863-510-3143
Mailing Address - Fax:
Practice Address - Street 1:1529 SUNRISE PLAZA DR
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6202
Practice Address - Country:US
Practice Address - Phone:352-243-9341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21486225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist