Provider Demographics
NPI:1245295955
Name:LEONARD, JAMES W (DO PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:LEONARD
Suffix:
Gender:M
Credentials:DO PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6630 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3036
Practice Address - Country:US
Practice Address - Phone:608-265-3207
Practice Address - Fax:608-265-6526
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI28018208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation