Provider Demographics
NPI:1265929616
Name:LEONE, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:LEONE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT DPT
Mailing Address - Street 1:5301 E HURON RIVER DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1051
Mailing Address - Country:US
Mailing Address - Phone:734-712-2732
Mailing Address - Fax:
Practice Address - Street 1:5301 E HURON RIVER DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-2732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology