Provider Demographics
NPI:1770784787
Name:GRAUSO, LEAH MARIE (OTR)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:MARIE
Last Name:GRAUSO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 DRAWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1823
Mailing Address - Country:US
Mailing Address - Phone:908-447-1161
Mailing Address - Fax:
Practice Address - Street 1:21 DRAWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1823
Practice Address - Country:US
Practice Address - Phone:908-447-1161
Practice Address - Fax:908-447-1161
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10625225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation