Provider Demographics
NPI:1588995021
Name:DE LEON, BATRIZ FATIMA (OTR/L)
Entity type:Individual
Prefix:
First Name:BATRIZ
Middle Name:FATIMA
Last Name:DE LEON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 TRAWOOD DR STE A100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3383
Mailing Address - Country:US
Mailing Address - Phone:915-333-0200
Mailing Address - Fax:915-792-0576
Practice Address - Street 1:2150 TRAWOOD DR STE A100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3383
Practice Address - Country:US
Practice Address - Phone:915-333-0200
Practice Address - Fax:915-792-0576
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122337225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122337OtherOT TX LICENSURE