Individual
MRS. LEAH MICHELLE BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
340 N CHESTER RD, WEST CHESTER, PA 19380-6676
(901) 292-3845
Mailing address
340 N CHESTER RD, WEST CHESTER, PA 19380-6676
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
J3-0000442
DE
2255A2300X
Athletic Trainer
Primary
RT005298
PA
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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