Individual
LEAH SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(201) 600-2790
Mailing address
468 MEER AVE, WYCKOFF, NJ 07481-1805
(201) 600-2790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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