Provider Demographics
NPI:1760602106
Name:TONER, LEANNE GRACE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:GRACE
Last Name:TONER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:GRACE
Other - Last Name:MIHELICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1098 LUPO LOOP
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:GA
Mailing Address - Zip Code:30268-2198
Mailing Address - Country:US
Mailing Address - Phone:770-841-2280
Mailing Address - Fax:
Practice Address - Street 1:2201 NEWNAN CROSSING BLVD E STE 100
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2551
Practice Address - Country:US
Practice Address - Phone:770-460-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002854225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand