Individual
ANTHONY LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
1 TWINS WAY, MINNEAPOLIS, MN 55403-1418
(612) 659-3692
Mailing address
411 FAIRFIELD CT, SCHAUMBURG, IL 60193-2913
(847) 524-4121
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2642
MN
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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