Individual
KATHY LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2999 CLEVELAND AVE, SUITE D, SANTA ROSA, CA 95403-2761
(707) 546-9160
(707) 546-1338
Mailing address
4301 GRAVENSTEIN HWY N, SEBASTOPOL, CA 95472-2206
(707) 829-4731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT5569
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT5569
CA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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