Provider Demographics
NPI:1598539835
Name:NERONI, LEAH (DPT)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:NERONI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 THURBER DR W APT 307
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1955
Mailing Address - Country:US
Mailing Address - Phone:216-409-7312
Mailing Address - Fax:
Practice Address - Street 1:767 THURBER DR W APT 307
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1955
Practice Address - Country:US
Practice Address - Phone:216-409-7312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0196412251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology