Individual
MS. LISA MARY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1119 OWENS ST N, STILLWATER, MN 55082-4316
(651) 439-7180
Mailing address
20665 KIRBY AVE N, SCANDIA, MN 55073-9521
(651) 433-3582
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101899
MN
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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