Individual
COLLEEN SCHUDA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
900 CANNON VALLEY DR STE A118, NORTHFIELD, MN 55057-1334
(844) 788-3165
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(866) 921-1035
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101246
MN
Other
Enumeration date
04/25/2024
Last updated
05/13/2024
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