Provider Demographics
NPI:1083444194
Name:ARONSEN, LEIF ERIK (DPT)
Entity type:Individual
Prefix:DR
First Name:LEIF
Middle Name:ERIK
Last Name:ARONSEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TRAIL RUN APT 9110
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-3988
Mailing Address - Country:US
Mailing Address - Phone:203-645-6509
Mailing Address - Fax:
Practice Address - Street 1:520 HARTFORD TPKE STE S
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5042
Practice Address - Country:US
Practice Address - Phone:860-870-0760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist