Provider Demographics
NPI:1548447972
Name:LEPPOROLI, LINDA CHRISTENSEN (PT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:CHRISTENSEN
Last Name:LEPPOROLI
Suffix:
Gender:F
Credentials:PT
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 86
Mailing Address - Street 2:
Mailing Address - City:W DUMMERSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05357-0086
Mailing Address - Country:US
Mailing Address - Phone:757-510-0909
Mailing Address - Fax:
Practice Address - Street 1:373 BLAIR PARK RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-8037
Practice Address - Country:US
Practice Address - Phone:802-876-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206439225100000X
VT040.0002309225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist