Provider Demographics
NPI:1912194416
Name:ROBINSON, LEORA ANN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LEORA
Middle Name:ANN
Last Name:ROBINSON
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 1:200 E WILEY ST
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-3609
Mailing Address - Country:US
Mailing Address - Phone:609-827-1898
Mailing Address - Fax:
Practice Address - Street 1:200 E WILEY ST
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-3609
Practice Address - Country:US
Practice Address - Phone:609-827-1898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004443225X00000X
PAOC010071225X00000X
MD05800225X00000X
FLOT12559225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist