LISA ANDREA SAMUELSON

FARGO, ND
NPI1730669995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: TX  114432)
Enumeration Date2018-08-17
Last Update Date2023-07-17
Business Address
Ms. LISA ANDREA SAMUELSON OTR
4342 15TH AVE S STE 105
FARGO, ND 58103-1125
Phone number: 701-936-9495
Mailing Address
Ms. LISA ANDREA SAMUELSON OTR
4342 15TH AVE S STE 105
FARGO, ND 58103-1125
Phone number: 701-936-9495
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