Individual
LEA RICHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
9650 SEYMOUR RD, FREDONIA, NY 14063-2321
(716) 680-2031
Mailing address
9650 SEYMOUR RD, FREDONIA, NY 14063-2321
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
08/10/2020
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