NPI 1023409919
Joanna Lackner, OTR
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
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.