Individual
LISA HOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
(763) 755-4261
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
(763) 755-4261
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102182
MN
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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