Individual
CAITLIN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5 MIDDLESEX AVE, SOMERVILLE, MA 02145-1102
(617) 591-4600
Mailing address
56 FARRAGUT AVE, 1, SOMERVILLE, MA 02144-1709
(781) 354-8276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9228
PTA LICENSE
MA
Enumeration date
12/08/2016
Last updated
12/08/2016
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