Individual
LEONARD MACRINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
110 CLEMATIS AVE, SUITE 2, WALTHAM, MA 02453-7013
(617) 992-2984
Mailing address
110 CLEMATIS AVE, SUITE 2, WALTHAM, MA 02453-7013
(617) 992-2984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH4256
AL
2251S0007X
Sports Physical Therapist
Primary
17706
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530163
BCBS OF AL
AL
01
—
7878489
AETNA
AL
05
—
890016400
—
AL
Enumeration date
07/05/2006
Last updated
03/26/2017
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