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

MS. Lisa Andrea Samuelson, OTR

Individual provider Pediatric Occupational Therapist · NPI 1730669995

MS. Lisa Andrea Samuelson, OTR is a Pediatric Occupational Therapist in Fargo, North Dakota. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

4342 15th Ave S Ste 105
Fargo, ND 58103-1125
Phone: (701) 936-9495
Fax: (952) 222-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 114432 (TX)

Record details

NPI number1730669995
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedAugust 17, 2018
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address4342 15th Ave S Ste 105, Fargo, ND 58103-1125

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