Individual
LEANN WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
464 2ND ST STE 106, EXCELSIOR, MN 55331-2108
(952) 401-4242
Mailing address
464 2ND ST STE 106, EXCELSIOR, MN 55331-2108
(952) 401-4242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104513
MN
225XP0200X
Pediatric Occupational Therapist
Primary
104513
MN
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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