Individual
DR. SARA JESSE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
1891 STATION NWPKWY, ANDOVER, MN 55304-4259
(763) 755-4275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4503
TEMPORARY PERMIT TO PRACTICE PHYSICAL THERAPY
MN
Enumeration date
06/26/2017
Last updated
04/29/2021
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