Individual
MRS. LISA ANNE MCINERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
445 GALTIER ST, SAINT PAUL, MN 55103-2358
(651) 251-3357
Mailing address
445 GALTIER ST, SAINT PAUL, MN 55103-2358
(651) 251-3357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103009
MN
Other
Enumeration date
11/03/2008
Last updated
04/17/2015
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