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Individual

SHANNON MARIE LAMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1431 PREMIER DR, MANKATO, MN 56001-6076
(507) 386-6600
(507) 386-0252
Mailing address
1431 PREMIER DR, MANKATO, MN 56001-6076
(507) 386-6600
(507) 386-0252

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105275
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105275
MN BOARD OF OCCUPATIONAL THERAPY LICENSE
MN
Enumeration date
05/22/2020
Last updated
05/22/2020
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