Individual
SUSAN L LEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3810 ALDER LN, EAGAN, MN 55122-3831
(952) 224-1919
Mailing address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 224-1919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104205
MN
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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