Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | PT31746 | FL |
Y | 2251N0400X | Physical Therapist - Neurology | 27126 | MD |
NPI | 1568928190 |
---|---|
Provider Name | Julie Marie Leonard |
First Address | North Bethesda, MD 20852-3469 |
Second Address | Takoma Park, MD 20912-6367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2019 |
Last Update Date | 15/01/2020 |