Individual
LEE DEHEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
212 HARRISON AVE, GLENSIDE, PA 19038-3904
(267) 229-0545
Mailing address
212 HARRISON AVE, GLENSIDE, PA 19038-3904
(267) 229-0545
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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