Provider Demographics
NPI:1477723716
Name:PINCINCE, LESLEY MAY (PT)
Entity Type:Individual
Prefix:MISS
First Name:LESLEY
Middle Name:MAY
Last Name:PINCINCE
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 1:330 AMITY RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2131
Mailing Address - Country:US
Mailing Address - Phone:203-814-4055
Mailing Address - Fax:203-389-5712
Practice Address - Street 1:330 AMITY RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2131
Practice Address - Country:US
Practice Address - Phone:203-814-4055
Practice Address - Fax:203-389-5712
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0070432251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics