NICHOLAS LEIMBACH

LAKEVILLE, CT
NPI1073154803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  998)
Enumeration Date2019-10-02
Last Update Date2019-10-02
Business Address
Mr. NICHOLAS LEIMBACH ATC
11 INTERLAKEN RD
LAKEVILLE, CT 06039-2141
Phone number: 401-569-5102
Mailing Address
Mr. NICHOLAS LEIMBACH ATC
PO BOX 602
LAKEVILLE, CT 06039-0602
Phone number: 401-569-5102