Individual
LEAH A SALCICCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15804 SW 16TH ST, WESTON, FL 33326-5026
(954) 610-6529
Mailing address
15804 SW 16TH ST, WESTON, FL 33326-5026
(954) 610-6529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6947
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2022
Last updated
03/13/2024
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