Basic Information
| Provider Information | |||||||||
| NPI: | 1710395645 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | HORN | ||||||||
| FirstName: | LEAH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 W HAMPDEN AVE STE 500 | ||||||||
| Address2: | |||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801102335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036956060 | ||||||||
| FaxNumber: | 3033697776 | ||||||||
| Practice Location | |||||||||
| Address1: | 333 W HAMPDEN AVE STE 500 | ||||||||
| Address2: | |||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801102335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036956060 | ||||||||
| FaxNumber: | 3033697776 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2014 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1242658 | TX | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225X00000X | 116039 | TX | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225X00000X | OT.0004094 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.