Individual
LYDIA MITCHELLE KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 AMERICAN BLVD W APT 528, BLOOMINGTON, MN 55437-1489
(310) 497-1035
Mailing address
5800 AMERICAN BLVD W APT 528, BLOOMINGTON, MN 55437-1489
(310) 497-1035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111624
TX
Other
Enumeration date
06/02/2014
Last updated
06/11/2015
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