Individual
MRS. LEAH SHANNON WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1100 MAXWELL LANE, UNIT 638, HOBOKEN, NJ 07030
(718) 762-7633
(718) 886-8694
Mailing address
1100 MAXWELL LANE, UNIT 638, HOBOKEN, NJ 07030
(908) 797-9077
(718) 886-8694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
022640
NY
225X00000X
Occupational Therapist
Primary
46TR00937200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022640
OCCUPATIONAL THERAPY LICENSE LUMBER
NY
01
—
401876
NBCOT REGISTRATION
—
Enumeration date
07/05/2018
Last updated
06/08/2023
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