NPI 1609102219
Mary Kay Leibel, PTA
Practice location
- Address
- 3130 Grimes Ave N, Robbinsdale, MN 55422-3217
- Phone
- (763) 450-2737
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1609102219
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Nov 2009
- Record last updated
- 2 Nov 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.