Individual provider · Type 1 NPI
Lisa R. White, MA OTR/L
Neurorehabilitation Occupational Therapist · Maple Grove, MN
NPI number
1174782957
Active
Practice location
15646 76th Pl N
Maple Grove, MN 55311-2677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurorehabilitation Occupational Therapist Primary | 225XN1300X | 101179 (MN) |
Neurorehabilitation Occupational Therapist: Definition to come...
About NPI 1174782957
Lisa R. White, MA OTR/L's National Provider Identifier is 1174782957, issued on Jun 5, 2008. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Maple Grove, MN. The record was last updated on Feb 8, 2012.