Most Relevant Information
Provider Data
NPI Number: | 1003222878 |
Provider Name: | LESLIE ANNE MYER OTR/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | 1352 |
Most Important Dates
Enumeration Date: | 07/01/2014 |
Last Updated: | 12/23/2015 |
Provider Practice Location
3000 32ND AVE S
FARGO
ND
581036132
Practice Location Phone/Fax
Phone: | 7013648000 |
Fax: | 7013648078 |
Provider Mailing Location
PO BOX 6001
FARGO
ND
581086001
Provider Mailing Phone/Fax
Phone: | 7013648000 |
Fax: | 7013648078 |