Provider Demographics
NPI:1891171989
Name:ALLAYEVA, LEAH (COTA/L)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:ALLAYEVA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9826 64TH AVE
Mailing Address - Street 2:APT 6A
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2543
Mailing Address - Country:US
Mailing Address - Phone:347-272-3544
Mailing Address - Fax:
Practice Address - Street 1:9826 64TH AVE APT 6A
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2509
Practice Address - Country:US
Practice Address - Phone:347-272-3544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant