Organization
PHYSICAL FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STEPHEN LEONARD JR. BS (CLINICAL EXERCISE PHYSIOLOGIST)
(203) 488-5919
Entity
Organization
Contact information
Practice address
249 W MAIN ST, PHYSICAL FITNESS, BRANFORD, CT 06405-4048
(203) 488-5919
(203) 488-5946
Mailing address
249 W MAIN ST, PHYSICAL FITNESS, BRANFORD, CT 06405-4048
(203) 488-5919
(203) 488-5946
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
CT
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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