Individual
JENNIFER LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
808 BACON ST, DURHAM, NC 27703-5006
(919) 560-2365
Mailing address
6715 SOMERKNOLL DR, DURHAM, NC 27713-6399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13459
NC
225X00000X
Occupational Therapist
Primary
OC012131
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232446104
COMERCIAL INSURANCE
PA
05
—
232446104
—
PA
Enumeration date
11/14/2011
Last updated
04/08/2026
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