Provider Demographics
NPI:1326930165
Name:THOMPSON, LEIGH-ANNE MICHELLE (OTR)
Entity type:Individual
Prefix:
First Name:LEIGH-ANNE
Middle Name:MICHELLE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 S LIGHTNER AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA
Mailing Address - State:LA
Mailing Address - Zip Code:70647-7205
Mailing Address - Country:US
Mailing Address - Phone:337-275-1931
Mailing Address - Fax:
Practice Address - Street 1:127 W BROAD ST STE 850
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-4394
Practice Address - Country:US
Practice Address - Phone:337-310-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA348212225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty