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General NPI Number Information
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NPI Number | 1508343351
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Entity Type | Individual
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Provider Name | LEAH LAMBERT GIERTYCH DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3534 JESSIE CT
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City | WOODBURY
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State | MN
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Zip | 55125-3840
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Country | US
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Telephone | 651-587-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 14665 GLENDALE AVE
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City | BROOKFIELD
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State | WI
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Zip | 53005-1620
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Country | US
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Telephone | 651-587-2358
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11182
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License Number State | MN
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