Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 103502 | MN |
NPI | 1184817819 |
---|---|
Provider Name | Lynn Allison Hatfield |
First Address | Waconia, MN 55387-9709 |
Second Address | Edina, MN 55435-2305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2007 |
Last Update Date | 27/08/2007 |