Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | OS018754 | PA |
Y | 213ES0000X | Sports Medicine | OS018754 | PA |
NPI | 1104187020 |
---|---|
Provider Name | Hannah P. Leahy |
First Address | York, PA 17402-9001 |
Second Address | Gettysburg, PA 17325-6958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 17/08/2017 |