Leibforth, Teresa N

Leibforth, Teresa N is an sole proprietor health care provider with primary practice located at 335 Ne 10Th Ave , Crystal River FL 34429-4456. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Leibforth, Teresa N can be contacted via phone (352) 795-5552.

Contact Information

Primary practice address
335 Ne 10Th Ave Crystal River FL 34429-4456
Phone: (352) 795-5552
Fax: (352) 795-7751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT 8392 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X OT8392 Florida

Profile Details

NPI number 1306868765
LBN Legal business name Leibforth, Teresa N
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jun 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306868765 NPPES
Florida Other Z073P BLUE CROSS BLUE SHIELD
Florida MEDICAID 890815000 BLUE CROSS BLUE SHIELD

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