Individual
DEBORAH E. LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1051 4TH AVE, GALLIPOLIS, OH 45631
(740) 395-8801
(740) 395-8855
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5244
(740) 446-5448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.000022
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217244
ANTHEM BCBS
—
05
—
0071074
—
OH
01
—
0823676
MOLINA MEDICAID
OH
01
—
670001490
RR MEDICARE
—
05
—
7502027000
—
WV
Enumeration date
07/14/2006
Last updated
02/18/2014
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