Individual
BRYANA DIANE LEVERENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
14371 QUINCE ST NW, ANDOVER, MN 55304-4139
(763) 360-9526
Mailing address
18881 W DODGE RD STE 300W, ELKHORN, NE 68022-4648
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107646
MN
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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