Individual
MISS LEAH MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Mailing address
1610 WHITETAIL RUN, BUFFALO, MN 55313-2292
(320) 237-2947
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2194
MN
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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