Healthcare Provider Details

I. General information

NPI: 1093629032
Provider Name (Legal Business Name): HOLLY SUE LEONARD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 HARRISBURG PIKE
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

PO BOX 3200
LANCASTER PA
17604-3200
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3103
  • Fax: 717-544-3130
Mailing address:
  • Phone: 717-544-3103
  • Fax: 717-544-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017442
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: