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NPI Code Detail

MEDICARE: ELEANOR LEABCH

MEDICARE: ELEANOR LEABCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist107264MN

General Provider Information

NPI Number : 1134059397
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANOR LEABCH
Provider Business Mailing Address
First Line : 115A 5TH ST NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-3004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2017 NET WAY NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5147
Country : US
Telephone Number : 218-333-6340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ ELEANOR LEABCH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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