Individual
LEAH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
607 DEMERS AVE, EAST GRAND FORKS, MN 56721
(701) 780-2594
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11520
MN
225100000X
Physical Therapist
2308
ND
2251X0800X
Orthopedic Physical Therapist
Primary
11520
MN
2251X0800X
Orthopedic Physical Therapist
2308
ND
Other
Enumeration date
09/30/2019
Last updated
12/07/2022
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