DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA R WHITE, MA OTR/L

Active Sole Proprietor

MS. LISA R WHITE, MA OTR/L is a Neurorehabilitation Occupational Therapist healthcare provider located in MAPLE GROVE, Minnesota. NPI 1174782957 is currently active in the NPPES registry. Verify at CMS.

Neurorehabilitation Occupational Therapist · MAPLE GROVE, MN

Registration Details

NPI Number
1174782957
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2008 (18.170786238893 yrs)
Last Updated
Feb 8, 2012
License
101179 (MN)
Sole Proprietor
Yes

Practice Information

Address
15646 76TH PL N
MAPLE GROVE, MN, 553112677
Browse MN providers · Browse ZIP 55311
Phone
7632299891
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.