Individual
STEPHANIE LYNN LYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2893 3RD AVE W, 102, DICKINSON, ND 58601-2617
(701) 483-1257
Mailing address
PO BOX 1575, SUITE 102, DICKINSON, ND 58602-1575
(701) 483-1257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
965
ND
Other
Enumeration date
04/25/2007
Last updated
10/31/2008
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