Provider Demographics
NPI:1992579841
Name:BARRON-LEER, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BARRON-LEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 OLYMPIA ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4154
Mailing Address - Country:US
Mailing Address - Phone:612-229-1505
Mailing Address - Fax:
Practice Address - Street 1:7400 OLYMPIA ST
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4154
Practice Address - Country:US
Practice Address - Phone:612-229-1505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No174H00000XOther Service ProvidersHealth Educator