Individual
LUCINDA G BEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1412 W 4TH ST, RED WING HEALTH CARE CENTER, RED WING, MN 55066-2107
(651) 388-2843
Mailing address
968 AURORA CIR, RED WING, MN 55066-1328
(651) 380-3964
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200645
MN
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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