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MR. MATTHEW WILLIAM LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, PTA

Contact information

Practice address
135 ERIE ST E, BLAUVELT, NY 10913-1823
(845) 680-2673
Mailing address
9 WALNUT ST, STONY POINT, NY 10980-1328

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006468-1
NY
2255A2300X
Athletic Trainer
000228-1
NY

Other

Enumeration date
04/12/2007
Last updated
09/11/2025
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