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

MS. LISA ANDREA SAMUELSON, OTR

Active Sole Proprietor

MS. LISA ANDREA SAMUELSON, OTR is a Pediatric Occupational Therapist healthcare provider located in FARGO, North Dakota. NPI 1730669995 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · FARGO, ND

Registration Details

NPI Number
1730669995
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2018 (7.9512077883403 yrs)
Last Updated
Jul 17, 2023
License
114432 (TX)
Sole Proprietor
Yes

Practice Information

Address
4342 15TH AVE S STE 105
FARGO, ND, 581031125
Browse ND providers · Browse ZIP 58103
Phone
7019369495
Fax
9522221994
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in FARGO, ND

Name Credential NPI
KRISTI ESLINGER M.ED., OTR/L 1467539353
MR. STEPHEN PRESTON OLSON OTRL 1861540973
ROCHELLE ANN DINGMANN OTRL 1164570578
JANE ELISABETH AAFEDT MCCOY MOTRL 1669522421
MARY ALICE BUETTNER OTRL 1669522520
MS. MARY SUSAN BAUMGARTNER OT 1093831026
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.