MATTHEW LEEDS

ELLINGTON, CT
NPI1437650181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  000801)
Enumeration Date2018-02-27
Last Update Date2018-02-27
Business Address
MATTHEW LEEDS MS, ATC, LAT, CMP
12 MAIN ST STE 7
ELLINGTON, CT 06029-3361
Phone number: 860-872-7500
Mailing Address
MATTHEW LEEDS MS, ATC, LAT, CMP
51 MEADOW BROOK RD APT 91
ELLINGTON, CT 06029-2230
Phone number: