MEDICARE: ALLISON M LEONARD PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9679	OH

General Provider Information

NPI Number	:	1396862611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON M LEONARD PT

Provider Business Mailing Address
First Line	:	6765 QUARRYSTONE LN
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-8391
Country	:	US
Telephone Number	:	440-243-4819
Fax Number	:

Provider Business Practice Location Address
First Line	:	14900 PRIVATE DR
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-3413
Country	:	US
Telephone Number	:	216-851-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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