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Individual

MARY ELIZABETH LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
1441 SCHOENERSVILLE RD, BETHLEHEM, PA 18018-1864
(484) 526-6784
Mailing address
11 REDWOOD LN, LITTLE EGG HARBOR TWP, NJ 08087-2120
(609) 513-8645

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006431
PA

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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