Individual
EDWARD LEONARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT - 005193
KY
225100000X
Physical Therapist
Primary
05010576A
IN
Other
Enumeration date
05/16/2008
Last updated
02/27/2012
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