Individual
MS. LISA C NEITGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR STE 130, EAGAN, MN 55121-7707
(651) 406-8868
Mailing address
705 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2110
(608) 357-2000
(608) 357-2254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101780
MN
225X00000X
Occupational Therapist
3914026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41047800
—
WI
Enumeration date
07/23/2007
Last updated
12/21/2020
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