Lisa Sandstrom LLC

NPI #1467875294 in Stillwater, Minnesota

Provider Information

NPI Number: 1467875294
Entity Type: Organization
Organization Name: Lisa Sandstrom LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 30, 2014
Last Updated: Jan 30, 2014

Practice Location

Address: 202 GREELEY ST N
City: Stillwater
State: Minnesota
ZIP Code: 55082-4711
Phone: (651) 238-0435

Authorized Official

Name: LISA SANDSTROM
Title: OCCUPATIONAL THERAPIST
Phone: (651) 238-0435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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