Individual
MS. LEANNE ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
4050 S 26TH ST STE 140, PHILADELPHIA, PA 19112-1613
(267) 463-2288
(215) 468-2789
Mailing address
405 HERITAGE DR, HARLEYSVILLE, PA 19438-3958
(931) 252-2534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003859
PA
Other
Enumeration date
04/07/2006
Last updated
01/06/2014
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