Provider Demographics
NPI:1972945475
Name:LEONE, GIOVANNI FRANCESCO (PTA)
Entity type:Individual
Prefix:
First Name:GIOVANNI
Middle Name:FRANCESCO
Last Name:LEONE
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W EL CAMINO DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5526
Mailing Address - Country:US
Mailing Address - Phone:602-738-6312
Mailing Address - Fax:
Practice Address - Street 1:4494 W PEORIA AVE STE 115B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-2020
Practice Address - Country:US
Practice Address - Phone:623-934-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10017A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant