NPI 1336777408

Lance Beresford, COTALDRS

Practitioner Occupational Therapy Assistant Des Moines, IA

Practice location

Address: 1301 Penn Ave STE 308, Des Moines, IA 50316-2368
Phone: (515) 263-5143
Mailing address: 1200 Pleasant St, Des Moines, IA 50309-1406

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

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Driving and Community Mobility Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224ZR0403X

Registry record

NPI: 1336777408
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2020
Record last updated: 1 Apr 2020

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.