Individual
MADISEN LAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2835 W SAINT GERMAIN ST STE 300, SAINT CLOUD, MN 56301-6281
(952) 388-4320
Mailing address
3844 RIVIERA RD, SARTELL, MN 56377-9764
(952) 388-4320
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MN
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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