Provider Demographics
NPI:1518039106
Name:SAYO, LEON CARLO (DPT)
Entity Type:Individual
Prefix:MR
First Name:LEON
Middle Name:CARLO
Last Name:SAYO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 N STONEMAN AVE
Mailing Address - Street 2:APT 12
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1062
Mailing Address - Country:US
Mailing Address - Phone:626-570-0810
Mailing Address - Fax:
Practice Address - Street 1:55 S RAYMOND AVE
Practice Address - Street 2:STE 100
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-7100
Practice Address - Country:US
Practice Address - Phone:626-576-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33025225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist