IndividualActive
Lisa White, MA OTR/L
NPI 1174782957 · Neurorehabilitation Occupational Therapist · Maple Grove, MN
Provider details
- NPI number
- 1174782957
- Entity type
- Individual
- Primary specialty
- Neurorehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MA OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 101179 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15646 76th Pl N
Maple Grove, MN 55311-2677
Phone: (763) 229-9891
Approximate (ZIP-level) locationGet directions
Mailing address
15646 76th Pl N
Maple Grove, MN 55311-2677
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2012-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.