Individual
LISA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L LAC
Contact information
Practice address
7300 FRANCE AVE S, EDINA, MN 55435-4525
(952) 926-0255
Mailing address
7300 FRANCE AVE S, EDINA, MN 55435-4525
(952) 926-0255
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1593
MN
225X00000X
Occupational Therapist
Primary
102426
MN
Other
Enumeration date
10/26/2011
Last updated
06/26/2015
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