National Provider Identifier

Leah Ann Bidtah, OTRL

Leah Ann Bidtah, OTRL is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 871-9883.

NPI 1184790958Kenmore, NYPediatric Occupational Therapist

Profile Overview

NPI
1184790958
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
November 25, 2006
Last Updated
July 08, 2007

Practice Location

  • 2565 Elmwood Ave
  • Kenmore, NY 14217-1939

Phone: (716) 871-9883

Mailing Address

  • 142 Briarcliff RD
  • Cheektowaga, NY 14225-1060

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1184790958
Entity Type
Individual
Last Name
Bidtah
First Name
Leah
Middle Name
Ann
Name Prefix
Mrs.
Credential
OTRL
Provider Other Last Name
Hodgson
Provider Other First Name
Leah
Provider Other Middle Name
Ann
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
OTRL
Provider Other Last Name Type Code
1
Mailing Street Address
142 Briarcliff RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1060
Mailing Country
US
Mailing Phone
(716) 200-0626
Practice Street Address
2565 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1939
Practice Country
US
Practice Phone
(716) 871-9883
Enumeration Date
November 25, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)
Other Identifiers
010133-1 (NY, State License Number)