| Doctor Name: | LISA A SMITH |
| NPI Number: | 1790894012 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L, CHT |
| License Number: | 102714 |
| Business Practice Address: | 8540 Quaday Ave Ne Otsego, MN - 553306522 |
| Business Phone Number: | 7634410298 |
| Business Fax Number: | 7634410591 |
| Mailing Address: | 4200 Dahlberg Dr, Suite 300 GOLDEN VALLEY |
| State: | MN |
| Postal Code: | 554224840 |
| Phone Number: | 9525125600 |
| Fax Number: | 9525125651 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 10/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 102714 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |