Lisa Ann Osterberg, OTR

Individual provider Active NPI Occupational Therapist · Kingsford, MI

NPI 1346517869 · NPPES record last updated Dec 27, 2013

Key facts

NPI
1346517869
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
557-26 (WI)
Practice address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone
(906) 774-0522
Fax
(906) 779-1306
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
557-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson County Healthcare System Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 557-26 WI Yes

Addresses

Primary practice location

715 Pyle Dr
Kingsford, MI 49802-4456

Mailing address

1132 Forest St
Niagara, WI 54151-1406

Other names

  • Lisa Ann Starch Former name

Other providers in Kingsford, MI

All providers in Kingsford, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.