LEONARD WANTA

ROXBURY, MA
NPI1477978492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  21013)
Enumeration Date2014-02-27
Last Update Date2014-02-27
Business Address
-- LEONARD WANTA DPT
1350 TREMONT ST
ROXBURY, MA 02120-3447
Phone number: 617-267-3773
Mailing Address
-- LEONARD WANTA DPT
535 S MAIN ST
RANDOLPH, MA 02368-5261
Phone number: 781-961-3370