MEDICARE: CATHLEEN C 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	005220-1	NY

General Provider Information

NPI Number	:	1770583569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHLEEN C LEONARD PT

Provider Business Mailing Address
First Line	:	141 SULLYS TRL
Second Line	:	SUITE 9
City	:	PITTSFORD
State	:	NY
Zip	:	14534-4563
Country	:	US
Telephone Number	:	585-387-0430
Fax Number	:	585-387-0431

Provider Business Practice Location Address
First Line	:	141 SULLYS TRL
Second Line	:	SUITE 9
City	:	PITTSFORD
State	:	NY
Zip	:	14534-4563
Country	:	US
Telephone Number	:	585-387-0430
Fax Number	:	585-387-0431

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/08/2007

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Directions to “ CATHLEEN C LEONARD PT” Practice Location

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