Most Relevant Information
Provider Data
NPI Number: | 1003290131 |
Provider Name: | ROSALIE A. LEININGER CEIS |
Entity Type: | Individual |
Taxonomy Code: | 222Q00000X |
Specialty: | Developmental Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 07/18/2015 |
Last Updated: | 07/18/2015 |
Provider Practice Location
12 TYLER STREET
SOMERVILLE
MA
02143
Practice Location Phone/Fax
Phone: | 6176293919 |
Fax: |
Provider Mailing Location
55 OLIVER ST
SOMERVILLE
MA
021454127
Provider Mailing Phone/Fax
Phone: | 6174854919 |
Fax: |