Provider Demographics
NPI:1972820629
Name:DUNN, LEAH S (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:S
Last Name:DUNN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094-7818
Mailing Address - Country:US
Mailing Address - Phone:859-486-0255
Mailing Address - Fax:
Practice Address - Street 1:249 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-7818
Practice Address - Country:US
Practice Address - Phone:859-486-0255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist