Provider Demographics
NPI:1336542968
Name:LEAKE, KARA ANNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ANNE
Last Name:LEAKE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:ANNE
Other - Last Name:SCHREIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:131 KENT RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3485
Mailing Address - Country:US
Mailing Address - Phone:860-350-3330
Mailing Address - Fax:860-350-3520
Practice Address - Street 1:131 KENT RD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3485
Practice Address - Country:US
Practice Address - Phone:860-350-3330
Practice Address - Fax:860-350-3520
Is Sole Proprietor?:No
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4283225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist