Individual
ASHLEY A LIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SCHOOL ST, BELGRADE, MN 56312-9176
(320) 254-8215
Mailing address
27127 145TH ST NE, BELGRADE, MN 56312-8825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201561
MN
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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