Individual
LEAH RENEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
7000 ADELPHI RD, HYATTSVILLE, MD 20782-1454
(907) 441-9215
Mailing address
3350 TOLEDO TER APT 211, HYATTSVILLE, MD 20782-1392
(907) 441-9215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001253
MD
Other
Enumeration date
08/15/2017
Last updated
01/13/2020
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