Provider Demographics
NPI:1225235088
Name:SHAPIRO, LENORE (PT)
Entity Type:Individual
Prefix:MS
First Name:LENORE
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 FOXON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06471-1127
Mailing Address - Country:US
Mailing Address - Phone:203-484-5133
Mailing Address - Fax:203-484-5134
Practice Address - Street 1:635 FOXON RD
Practice Address - Street 2:
Practice Address - City:NORTH BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06471-1127
Practice Address - Country:US
Practice Address - Phone:203-484-5133
Practice Address - Fax:203-484-5134
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT41542251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic