LISA R WHITE

MAPLE GROVE, MN
NPI1174782957
Former NameLISA R WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: MN  101179)
Enumeration Date2008-06-05
Last Update Date2012-02-08
Business Address
Ms. LISA R WHITE MA OTR/L
15646 76TH PL N
MAPLE GROVE, MN 55311-2677
Phone number: 763-229-9891
Mailing Address
Ms. LISA R WHITE MA OTR/L
15646 76TH PL N
MAPLE GROVE, MN 55311-2677
Phone number: 763-229-9891
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