Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA LEADEM, OT
Active Sole ProprietorAMANDA LEADEM, OT is a Pediatric Rehabilitation Medicine healthcare provider located in FORKED RIVER, New Jersey. NPI 1639424252 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · FORKED RIVER, NJ
Registration Details
- NPI Number
- 1639424252
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2012 (14.060537549525 yrs)
- Last Updated
- Jan 31, 2019
- License
-
46TR00496100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1007 INLAND RDFORKED RIVER, NJ, 087315209Browse NJ providers · Browse ZIP 08731
- Phone
- 7327610088
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.