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Individual
LATASHA LARSON
Active
Individual
LATASHA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103693
MN
225XE0001X
Environmental Modification Occupational Therapist
Primary
103693
MN
225XG0600X
Gerontology Occupational Therapist
103693
MN
Other
Enumeration date
09/21/2021
Last updated
01/17/2023
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