IndividualActive
Leah Mashburn, MOT/ OTR,L
NPI 1861008195 · Pediatric Occupational Therapist · Broken Arrow, OK
Provider details
- NPI number
- 1861008195
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT/ OTR,L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5485 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1605 S Eucalyptus Ave Ste 200
Broken Arrow, OK 74012-5996
Phone: (918) 608-1212
Fax: (918) 289-2606
Approximate (ZIP-level) locationGet directions
Mailing address
1605 S Eucalyptus Ave Ste 200
Broken Arrow, OK 74012-5996
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2023-11-27
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.