IndividualActive
Amanda Leadem, OT
NPI 1639424252 · Pediatric Rehabilitation Medicine Physician · Forked River, NJ
Provider details
- NPI number
- 1639424252
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 46TR00496100 (NJ)
Mailing address
1007 Inland Rd
Forked River, NJ 08731-5209
Registry dates
- Enumerated
- 2012-07-19
- Last updated
- 2019-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.