Individual
JODI LEBARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22426 SAINT FRANCIS BLVD, ANOKA, MN 55303-9670
(763) 252-4550
Mailing address
30411 152ND ST, PRINCETON, MN 55371-8507
(763) 252-4550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102246
MN
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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