# POLLY E. LEONARD, D.O., LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972746550
- **Authorized official:** DR. POLLY LEONARD D.O. (OWNER/DOCTOR)
- **Authorized official phone:** (401) 732-2031

## Contact information

- **Practice address:** 390 TOLL GATE RD, SUITE 203, WARWICK, RI 02886-4326
- **Practice address phone:** (401) 732-2031
- **Practice address fax:** (888) 948-3254
- **Mailing address:** 390 TOLL GATE RD STE 203, WARWICK, RI 02886-4326
- **Mailing address phone:** (401) 732-2031
- **Mailing address fax:** (888) 948-3254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2009
- **Last updated:** 02/06/2025