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

MRS. STEPHANIE LYNN DE SAM LAZARO, OTRL

Active

MRS. STEPHANIE LYNN DE SAM LAZARO, OTRL is a Occupational Therapist healthcare provider located in BLOOMINGTON, Minnesota. NPI 1619059169 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BLOOMINGTON, MN

Registration Details

NPI Number
1619059169
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2006 (19.830427039977 yrs)
Last Updated
Jul 8, 2007
License
103343 (MN)

Practice Information

Address
900 W 94TH STREET
THE THERAPY PLACE
BLOOMINGTON, MN, 55420
Browse MN providers · Browse ZIP 55420
Phone
9528850418
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in BLOOMINGTON, MN

Name Credential NPI
ERIN MACK 1992772792
MARY BETH WULF OTR/CHT 1396713277
RENAE ELLEN BIEBL OT 1730131384
MS. KATHLEEN ANNE PHILLIPPE OTR L 1093806606
MS. ERIN TASHA BEUSSMAN OTRIL 1528159134
MS. LYNN M KOPFMANN OTRL 1063503688
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.