Provider Demographics
NPI:1427202365
Name:TREFZ, LEAH MICHELLE (OTR/L)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MICHELLE
Last Name:TREFZ
Suffix:
Gender:
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 1:2130 NE LOOP 410 STE 212
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4662
Mailing Address - Country:US
Mailing Address - Phone:210-656-5848
Mailing Address - Fax:210-656-5847
Practice Address - Street 1:2130 NE LOOP 410 STE 212
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4662
Practice Address - Country:US
Practice Address - Phone:210-656-5848
Practice Address - Fax:210-656-5847
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112826171000000X, 225X00000X
OR241299225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171000000XOther Service ProvidersMilitary Health Care Provider