Individual
REBECCA VAN LEUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(651) 337-9946
Mailing address
1800 W GRANGER ST, #1811, BROKEN ARROW, OK 74012-0776
(651) 337-9946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1921
OK
Other
Enumeration date
07/21/2014
Last updated
02/24/2017
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