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Individual

ALISSA MARIE LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(320) 267-4377
Mailing address
114302 HUNDERTMARK RD, CHASKA, MN 55318-1155
(320) 267-4377

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5645
MN

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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