Individual
MS. LEAH PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5559
Mailing address
12905 W WILBUR DR, NEW BERLIN, WI 53151-5460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
508356
WI
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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