Provider Demographics
NPI:1861174203
Name:LESZCZYNSKI, TERESA ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANN
Last Name:LESZCZYNSKI
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 1:16 PENNS GREENE DR
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-9173
Mailing Address - Country:US
Mailing Address - Phone:484-459-8789
Mailing Address - Fax:
Practice Address - Street 1:625 ROBERT FULTON HWY
Practice Address - Street 2:
Practice Address - City:QUARRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:17566-1400
Practice Address - Country:US
Practice Address - Phone:717-786-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002081L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist