Individual
MS. LESLIE COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
6117 MAIN ST, VOORHEES, NJ 08043-4660
(856) 325-6679
(856) 325-6658
Mailing address
1208 CEDAR DR, MEDFORD, NJ 08055-2317
(781) 572-8298
(856) 325-6658
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00134800
NJ
2255A2300X
Athletic Trainer
RT004045
PA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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