Individual
LEAH WINJUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6142 MARTENS WAY, FARGO, ND 58104
(701) 371-7753
Mailing address
411 13TH ST. SO., MOORHEAD, MN 56560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1058308
ND
225X00000X
Occupational Therapist
Primary
989
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27828
NORIDIAN, BCBS
ND
Enumeration date
05/08/2007
Last updated
07/08/2007
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