Stephen Leonard PT

NPI 1730190646 - Physical Therapist - 225100000X

NPI Details
NPI 1730190646
Gender Male
Enumeration Date 08/10/2006
Last Updated 12/19/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
710 FRANKLIN ST
SUITE 100
MICHIGAN CITY IN, 46360-3563, US
Phone (219) 873-7037
Fax
Business Location
8259 WICKER AVE
SAINT JOHN IN, 46373-8878, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Indiana
License Number 05003828A
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According to our database, Stephen Leonard PT NPI is 1730190646, taxonomy code is 225100000X and license number is 05003828A, license state is located at Indiana. Stephen Leonard PT physically located at 710 Franklin St, Michigan City IN, 46360-3563. NPI Number Stephen Leonard PT has the Individual type.

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1730190646 NPI number is provided on an as is basis without warranty of any kind. 1730190646 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Leonard PT are for informational purposes only.