Provider Demographics
NPI:1629412788
Name:LEONE, BETTY-JEAN (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:BETTY-JEAN
Middle Name:
Last Name:LEONE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-1415
Mailing Address - Country:US
Mailing Address - Phone:978-304-3122
Mailing Address - Fax:
Practice Address - Street 1:63 LOCUST ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2240
Practice Address - Country:US
Practice Address - Phone:978-777-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2561225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant