Provider Demographics
NPI:1093973828
Name:LEONARD, KAREN CHRISTINE (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:CHRISTINE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 COCKS LN
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-2314
Mailing Address - Country:US
Mailing Address - Phone:516-801-1901
Mailing Address - Fax:516-656-0074
Practice Address - Street 1:124 COCKS LN
Practice Address - Street 2:
Practice Address - City:LOCUST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:11560-2314
Practice Address - Country:US
Practice Address - Phone:516-801-1901
Practice Address - Fax:516-656-0074
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021478-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist