Leonard Wanta, DPT

NPI #1477978492 in Roxbury, Massachusetts

Provider Information

NPI Number: 1477978492
Entity Type: Individual
Name: Leonard Wanta, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 27, 2014
Last Updated: Feb 27, 2014

Practice Location

Address: 1350 TREMONT ST
City: Roxbury
State: Massachusetts
ZIP Code: 02120-3447
Phone: (617) 267-3773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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