Paige Van Lanen, COTA/L
Occupational Therapy Assistant in Lakeville, MN. Individual provider (NPI-1).
NPI number1710690300
StatusActive
Last updated in NPPESDec 29, 2022
Details
- NPI
- 1710690300
- Entity type
- Individual (NPI-1)
- Name
- Paige Van Lanen
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2022
- Certification date
- Dec 29, 2022
- Last updated
- Dec 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 480887 | – | Yes |
| 224Z00000X | Occupational Therapy Assistant | 202732 | MN |
Practice location
16258 Kenyon AveLakeville, MN 55044-4665
Phone 952-915-1515
Mailing address
3600 Saint Francis Way Apt EEagan, MN 55123-1168
Phone 651-328-9871
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