Provider Demographics
NPI:1225328677
Name:LECLAIR, RONALD P JR (MSED,ATC,L, CSCS,ROT)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:P
Last Name:LECLAIR
Suffix:JR
Gender:M
Credentials:MSED,ATC,L, CSCS,ROT
Other - Prefix:
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Mailing Address - Street 1:235 WELLESLEY ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1572
Mailing Address - Country:US
Mailing Address - Phone:617-233-9856
Mailing Address - Fax:
Practice Address - Street 1:235 WELLESLEY ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1572
Practice Address - Country:US
Practice Address - Phone:781-768-7066
Practice Address - Fax:781-768-8329
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2018-11-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer