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Individual

KAITLIN FIONNA LEDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
36 WATERFORD WAY, WALLINGFORD, PA 19086-7217
(610) 717-8421
Mailing address
36 WATERFORD WAY, WALLINGFORD, PA 19086-7217
(610) 717-8421

Taxonomy

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

Other

Enumeration date
07/10/2014
Last updated
07/10/2014
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