Individual
RICHARD LEATHERY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
46 W CANAL ST, DOVER, PA 17315-1404
(717) 292-3671
Mailing address
126 TIMBER LN, HANOVER, PA 17331-9210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001447A
PA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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