Individual
MRS. LESLEY DANA NISTLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LESLEY NISTLER, OTRL
Contact information
Practice address
22 27TH AVE SE, MINNEAPOLIS, MN 55414-3102
(612) 332-4262
Mailing address
3441 GIRARD AVE S, MINNEAPOLIS, MN 55408-3818
(612) 825-6194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100741
MN
Other
Enumeration date
06/09/2007
Last updated
07/08/2007
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