Lisa Kay Mitteness, OTR/L, BCBA

NPI #1518237791 in Alexandria, Minnesota

Provider Information

NPI Number: 1518237791
Entity Type: Individual
Name: Lisa Kay Mitteness, OTR/L, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L, BCBA
Enumeration Date: Jan 5, 2012
Last Updated: Jan 20, 2019

Practice Location

Address: 1018 MADISSON ST
City: Alexandria
State: Minnesota
ZIP Code: 56308-4897
Phone: (320) 760-4061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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