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Individual

SUSAN LOBERMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
135 FERN ST N, CAMBRIDGE, MN 55008-1033
(763) 689-5385
Mailing address
6191 ALBERT LN, NORTH BRANCH, MN 55056-3303

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101660
MN
225X00000X
Occupational Therapist
1313
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
358T8LO
BCBS
MN
01
6403445
MEDICA
MN
01
HP45823
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
07/09/2007
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