Individual
MRS. AIDA LACSON WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 230-1335
Mailing address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 230-1335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103702
MN
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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