Lieser, Krista M

Lieser, Krista M is an individual health care provider with primary practice located at 1306 Gemini Cir Suite 3, Ottawa IL 61350-1694. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lieser, Krista M can be contacted via phone (815) 431-9980.

Contact Information

Primary practice address
1306 Gemini Cir Suite 3 Ottawa IL 61350-1694
Phone: (815) 431-9980
Fax: (815) 431-9981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056-002942 Illinois

Profile Details

NPI number 1083937940
LBN Legal business name Lieser, Krista M
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2010
Last updated Oct 6th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083937940 NPPES
Illinois Other P00855683 MEDICARE RR

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