Lisa R White MA OTR/L

NPI 1174782957 - Occupational Therapist - 225XN1300X

NPI Details
NPI 1174782957
Gender Female
Enumeration Date 06/05/2008
Last Updated 02/08/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
15646 76TH PL N
MAPLE GROVE MN, 55311-2677, US
Phone (763) 229-9891
Fax
Business Location
15646 76TH PL N
MAPLE GROVE MN, 55311-2677, US
Phone (763) 229-9891
Fax
Toxanomy
Taxonomy Code 225XN1300X
License State Minnesota
License Number 101179
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According to our database, Ms. Lisa R White MA OTR/L NPI is 1174782957, taxonomy code is 225XN1300X and license number is 101179, license state is located at Minnesota. Lisa R White MA OTR/L physically located at 15646 76th Pl N, Maple Grove MN, 55311-2677. NPI Number Lisa R White MA OTR/L has the Individual type.

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1174782957 NPI number is provided on an as is basis without warranty of any kind. 1174782957 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa R White MA OTR/L are for informational purposes only.