Provider Demographics
NPI:1841559465
Name:LEONARD, CLAUDIA J (OTD, OT/L)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:J
Last Name:LEONARD
Suffix:
Gender:F
Credentials:OTD, OT/L
Other - Prefix:MRS
Other - First Name:CLAUDIA
Other - Middle Name:J
Other - Last Name:BRUHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 785
Mailing Address - Street 2:
Mailing Address - City:BAYARD
Mailing Address - State:NM
Mailing Address - Zip Code:88023-0785
Mailing Address - Country:US
Mailing Address - Phone:575-574-5177
Mailing Address - Fax:575-574-5150
Practice Address - Street 1:3131 AMHERST AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-4653
Practice Address - Country:US
Practice Address - Phone:406-494-7035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2215225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist