Individual
LEAH CORRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15001 N WANDERMERE RD APT F208, SPOKANE, WA 99208-8749
(425) 736-4983
Mailing address
15001 N WANDERMERE RD APT F208, SPOKANE, WA 99208-8749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000033225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000033225
—
WA
Enumeration date
06/27/2018
Last updated
06/27/2018
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