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Individual
MELINA LARSEN
Active
Individual
MELINA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, R/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5493
CT
225XM0800X
Mental Health Occupational Therapist
5493
CT
225XP0200X
Pediatric Occupational Therapist
5493
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/17/2019
Last updated
05/05/2021
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