Individual
ELIZABETH HAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
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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