MRS. Stephanie Lynn De Sam Lazaro, OTRL
NPI #1619059169 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1619059169
- Entity Type
- Individual
- Name
- MRS. Stephanie Lynn De Sam Lazaro, OTRL
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTRL
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 900 W 94TH STREET
- Address 2
- THE THERAPY PLACE
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420
- Phone
- (952) 885-0418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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