| NPI | 1891132080 |
|---|---|
| Former Name | SAMANTHA LEONHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT. 004045) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2015-07-20 |