Provider Demographics
NPI:1730369042
Name:LEIGH, JULIE ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:LEIGH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:DAVIDZUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:9095 E TANQUE VERDE RD UNIT 171-138
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8821
Mailing Address - Country:US
Mailing Address - Phone:520-283-1492
Mailing Address - Fax:
Practice Address - Street 1:9095 E TANQUE VERDE RD UNIT 171-138
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-8821
Practice Address - Country:US
Practice Address - Phone:520-283-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT-0000002915225X00000X
WA60898765225X00000X
AZOTH-009427225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS320024289OtherEIN