Provider Demographics
NPI:1770721227
Name:LEEMANS, JOSETTE (PT)
Entity type:Individual
Prefix:
First Name:JOSETTE
Middle Name:
Last Name:LEEMANS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:JOSE
Other - Last Name:LEEMANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:POST OFFICE BOX 4559
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-4559
Mailing Address - Country:US
Mailing Address - Phone:352-433-0091
Mailing Address - Fax:352-433-0676
Practice Address - Street 1:14031 DEL WEBB BOULEVARD
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-7957
Practice Address - Country:US
Practice Address - Phone:352-433-0091
Practice Address - Fax:352-433-0676
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZPT3330225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist