Individual
LEAH ALICE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS,NBCWHC,ATA
Contact information
Practice address
700 DIVISION ST, WAITE PARK, MN 56387-1336
(715) 220-2251
Mailing address
745 MAPLE ST, CLEARWATER, MN 55320-2040
(715) 220-2251
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
61501
MN
Other
Enumeration date
06/27/2022
Last updated
07/11/2022
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