Individual
LEAH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1844 COMMONWEALTH AVE, AUBURNDALE, MA 02466-2709
(603) 558-0437
Mailing address
PO BOX 1015, CHARLESTOWN, NH 03603-1015
(603) 558-0437
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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