Most Relevant Information
Provider Data
| NPI Number: | 1003241126 |
| Provider Name: | LEAH MICHELLE BUSHNELL MS, ATC, LAT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | J3-0000442 |
Most Important Dates
| Enumeration Date: | 09/09/2013 |
| Last Updated: | 09/09/2013 |
Provider Practice Location
340 N CHESTER RD
WEST CHESTER
PA
193806676
Practice Location Phone/Fax
| Phone: | 9012923845 |
| Fax: |
Provider Mailing Location
340 N CHESTER RD
WEST CHESTER
PA
193806676
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |