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Individual

MARIA LEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12400 PORTLAND AVE, STE. 140, BURNSVILLE, MN 55337-6868
(952) 428-0400
Mailing address
12400 PORTLAND AVE. S, STE. 140, BURNSVILLE, MN 55337
(952) 428-0400

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
10027
MN
2251P0200X
Pediatric Physical Therapist
Primary
10027
MN

Other

Enumeration date
04/26/2016
Last updated
04/06/2020
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