Whalio Doctors

NPI 1023409919

Joanna Lackner, OTR

Practitioner Occupational Therapist St Louis Park, MN

Practice location

Address
6500 Excelsior Blvd, St Louis Park, MN 55426-4702
Phone
(952) 993-5990
Mailing address
6825 Hickory St NE, Fridley, MN 55432-4125

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 104804 (MN)

Registry record

NPI
1023409919
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Feb 2015
Record last updated
12 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.