Leisa Bowler
Individual provider Active NPI Occupational Therapy Assistant · Lake Orion, MI
NPI 1487077830 · NPPES record last updated Jan 21, 2014
Key facts
- NPI
- 1487077830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5202007677 (MI)
- Practice address
- 2091 W View CT
Lake Orion, MI 48360-2287 - Phone
- (248) 421-8525
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202007677 | MI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202007677 | MI | Yes |
Addresses
Primary practice location
2091 W View CT
Lake Orion, MI 48360-2287
Mailing address
2091 W View CT
Lake Orion, MI 48360-2287
Phone (248) 421-8525
Other providers in Lake Orion, MI
- Blu Iris Therapeutic Services,LLC
- Lyndsay Bohannon
- Rachael Bonin
- Lauren Bordes
- Kerri Borton
- Abigail Anne Boyd
- Mansi Manoj Brahmbhatt
- Shannon Kay Brasil
- Loren Mark Brett
- Brightstone Occupational Therapy Consultants, LLC
All providers in Lake Orion, MI · Occupational Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.