Lisa Mary Clements OTR

NPI 1124317763 - Occupational Therapist - 225X00000X

NPI Details
NPI 1124317763
Gender Female
Enumeration Date 04/05/2011
Last Updated 04/05/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1119 OWENS ST N
STILLWATER MN, 55082-4316, US
Phone (651) 439-7180
Fax
Business Location
20665 KIRBY AVE N
SCANDIA MN, 55073-9521, US
Phone (651) 433-3582
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Minnesota
License Number 101899
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According to our database, Ms. Lisa Mary Clements OTR NPI is 1124317763, taxonomy code is 225X00000X and license number is 101899, license state is located at Minnesota. Lisa Mary Clements OTR physically located at 1119 Owens St N, Stillwater MN, 55082-4316. NPI Number Lisa Mary Clements OTR has the Individual type.

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1124317763 NPI number is provided on an as is basis without warranty of any kind. 1124317763 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Mary Clements OTR are for informational purposes only.