Individual
HANNAH JEAN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3001 11TH ST S, FARGO, ND 58103-6048
(701) 356-0062
Mailing address
502 14TH AVE S, MOORHEAD, MN 56560-3454
(701) 871-2220
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1972
ND
224Z00000X
Occupational Therapy Assistant
202853
MN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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