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Individual

SHANNON RAE LEGHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAT, LAT, ATC ,BSAS

Contact information

Practice address
46400 LEXINGTON VILLAGE WAY STE 108, LEXINGTON PARK, MD 20653-5570
(301) 798-7020
Mailing address
6361 HELEN ST, SOUTH PARK, PA 15129-9653
(412) 251-1070

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/05/2019
Last updated
03/17/2020
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