Provider Demographics
NPI:1336333889
Name:LEGGIERO, NOREEN (PTA)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:
Last Name:LEGGIERO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 63
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:NY
Mailing Address - Zip Code:12512-0063
Mailing Address - Country:US
Mailing Address - Phone:845-838-0849
Mailing Address - Fax:
Practice Address - Street 1:40 EASTER RD.
Practice Address - Street 2:
Practice Address - City:WAPPINGER FALLS
Practice Address - State:NY
Practice Address - Zip Code:12512-0063
Practice Address - Country:US
Practice Address - Phone:845-838-0849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002666-1225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant