Individual
LEANNA JUYNE GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 HAMILTON ST FL 4, ALLENTOWN, PA 18101-2407
(484) 862-3001
(484) 862-3013
Mailing address
33 N MAIN ST, PITTSTON, PA 18640-1949
Taxonomy
Speciality
Code
Description
License number
State
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT029475
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023782260003
—
PA
Enumeration date
06/01/2021
Last updated
10/09/2023
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