Individual
LEAH MARIE WHEATON STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
17001 TESTER RD, MONROE, WA 98272-2896
(360) 804-4500
Mailing address
330 FORD AVE, BREMERTON, WA 98312-3754
(360) 509-8330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000029789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000029789
BOC NUMBER
—
Enumeration date
11/02/2017
Last updated
06/16/2018
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