Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stephanie Lynn De Sam Lazaro, OTRL

Individual provider Occupational Therapist · NPI 1619059169

Mrs. Stephanie Lynn De Sam Lazaro, OTRL is an Occupational Therapist in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

900 W 94th Street The Therapy Pl
Bloomington, MN 55420
Phone: (952) 885-0418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 103343 (MN)

Record details

NPI number1619059169
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJuly 8, 2007

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