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Individual

ELIZABETH HAAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1354 PRAIRIE ST, CHASKA, MN 55318-2418
(605) 359-7315
Mailing address
1354 PRAIRIE ST, CHASKA, MN 55318-2418
(605) 359-7315

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104805
MN
225XM0800X
Mental Health Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104805
MINNESOTA STATE LICENSE
MN
Enumeration date
03/10/2015
Last updated
03/11/2023
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