Organization
NEW LEAF RECREATION, LLC
Active
Other names
New Leaf Specialized Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR STIEB (CO-OWNER/RECREATIONAL THERAPIST)
(419) 509-4697
Entity
Organization
Contact information
Practice address
104 E COLLINS RD, FORT WAYNE, IN 46825-5302
(260) 267-5425
Mailing address
104 E COLLINS RD, FORT WAYNE, IN 46825-5302
(260) 267-5425
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
09/09/2025
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