Individual
LAVONNE SUSAN SCHMITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
807 103RD AVE NE, BLAINE, MN 55434-4536
(763) 360-2454
Mailing address
807 103RD AVE NE, BLAINE, MN 55434-4536
(763) 360-2454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100561
MN
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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