Individual
LEAH PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4791 COUNTY ROAD 10 STE 102, MOOSE LAKE, MN 55767-9221
(218) 485-2020
(218) 485-2044
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104218
MN
Other
Enumeration date
08/09/2012
Last updated
09/10/2024
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