Individual
DAWN LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2795 PILOT KNOB RD, SUITE 100, EAGAN, MN 55121-1119
(651) 994-9644
(651) 994-8962
Mailing address
2795 PILOT KNOB RD 100, EAGAN, MN 55121-1930
(651) 994-9644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101196
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196211600
—
MN
01
—
6402176
MEDICA
MN
01
—
961S2KU
BCBS
MN
01
—
HP34806
HEALTH PARTNERS
MN
Enumeration date
02/08/2007
Last updated
11/24/2015
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