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Individual
EMILY CATHERINE LEONARD
Active
Individual
EMILY CATHERINE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT012604
GA
363A00000X
Physician Assistant
Primary
13145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13145
GEORGIA COMPOSITE MEDICAL BOARD LICENSE
GA
01
—
PT012604
LICENSE NUMBER
GA
Enumeration date
01/11/2017
Last updated
09/16/2025
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