Sandstrom, Lisa

Sandstrom, Lisa is an individual health care provider with primary practice located at 6381 Osgood Ave N Bldg C , Stillwater MN 55082-6118. 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. Sandstrom, Lisa can be contacted via phone (651) 238-0435.

Contact Information

Primary practice address
6381 Osgood Ave N Bldg C Stillwater MN 55082-6118
Phone: (651) 238-0435
Fax: (651) 383-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 103330 Minnesota

Profile Details

NPI number 1467659839
LBN Legal business name Sandstrom, Lisa
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jun 26th, 2020 - about 5 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 1467659839 NPPES
Minnesota Other 670000488 MEDICARE PTAN

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