DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LEONARD WANTA DPT

MEDICARE: LEONARD WANTA DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist21013MA

General Provider Information

NPI Number : 1477978492
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD WANTA DPT
Provider Business Mailing Address
First Line : 535 S MAIN ST
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-5261
Country : US
Telephone Number : 781-961-3370
Fax Number : 781-767-7531
Provider Business Practice Location Address
First Line : 1350 TREMONT ST
Second Line :
City : ROXBURY
State : MA
Zip : 02120-3447
Country : US
Telephone Number : 617-267-3773
Fax Number : 617-602-1010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 02/27/2014

Similar Medicare Providers

1164857579 — ALEXANDRA CHOURAMANIS DPT
Practice Location Address:
1350 TREMONT ST
BOSTON, MA
02120-3447
Practice Phone: 617-267-3773
Practice Fax: 617-602-1010
1093140402 — JULIE SCHWAB DPT
Practice Location Address:
1350 TREMONT ST
BOSTON, MA
02120-3447
Practice Phone: 617-267-3773
Practice Fax: 617-602-1010
1831513340 — CAROLE GILLIS DPT
Practice Location Address:
1350 TREMONT ST
BOSTON, MA
02120-3447
Practice Phone: 617-267-3773
Practice Fax: 617-602-1010
1558754614 — DANIEL MUNKLEY III DPT
Practice Location Address:
1350 TREMONT ST
BOSTON, MA
02120-3447
Practice Phone: 617-267-3773
Practice Fax: 617-602-1010
1477923779 — SALENA LASHLEY DPT
Practice Location Address:
1350 TREMONT ST
BOSTON, MA
02120-3447
Practice Phone: 617-267-3773
Practice Fax: 617-602-1010
1316946882 — DR. FREDERICK CALVIN BASILICO M.D.
Practice Location Address:
125 PARKER HILL AVE , STE 450
ROXBURY CROSSING, MA
02120-2847
Practice Phone: 617-754-5910
Practice Fax: 617-754-5950

Directions to “ LEONARD WANTA DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.