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Individual

MITCHELL LEATHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ASPT

Contact information

Practice address
800 MAPLE AVE, HARLEYSVILLE, PA 19438-1032
(215) 256-9501
Mailing address
113 S MAIN ST, RICHLANDTOWN, PA 18955-1050
(267) 733-7878

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TEI004386
PA

Other

Enumeration date
10/25/2020
Last updated
10/25/2020
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