National Provider Identifier
Leanna Eileen Gradolph
Leanna Eileen Gradolph is listed in the NPPES registry with a primary specialty of Occupational Therapist in Williamsville, NY and a listed phone number of (716) 580-3976.
Profile Overview
- NPI
- 1174175517
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 16, 2019
- Last Updated
- July 16, 2019
Practice Location
- 5544 Main St
- Williamsville, NY 14221-5406
Phone: (716) 580-3976
Mailing Address
- 696 Crescent Ave
- Buffalo, NY 14216-3403
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1174175517
- Entity Type
- Individual
- Last Name
- Gradolph
- First Name
- Leanna
- Middle Name
- Eileen
- Mailing Street Address
- 696 Crescent Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-3403
- Mailing Country
- US
- Practice Street Address
- 5544 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5406
- Practice Country
- US
- Practice Phone
- (716) 580-3976
- Enumeration Date
- July 16, 2019
- Last Updated
- July 16, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)