Provider Demographics
NPI:1124069026
Name:FINAMORE, LEONARD VINCENT JR (LATC, CSCS)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:VINCENT
Last Name:FINAMORE
Suffix:JR
Gender:M
Credentials:LATC, CSCS
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Mailing Address - Street 1:22 ABBOTT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1302
Mailing Address - Country:US
Mailing Address - Phone:781-331-8274
Mailing Address - Fax:617-325-0888
Practice Address - Street 1:235 BAKER ST
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4331
Practice Address - Country:US
Practice Address - Phone:617-469-8080
Practice Address - Fax:617-325-0888
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2014-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2142255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer