Individual
PAIGE VAN LANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16258 KENYON AVE, LAKEVILLE, MN 55044-4665
(952) 915-1515
Mailing address
3600 SAINT FRANCIS WAY APT E, EAGAN, MN 55123-1168
(651) 328-9871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
202732
MN
224Z00000X
Occupational Therapy Assistant
Primary
480887
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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