Individual
KATHRYN LARSON
Active
Individual
KATHRYN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTR485
WY
225XH1200X
Hand Occupational Therapist
Primary
0119004545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312199
BCBS
—
01
—
P00081343
RAILROAD MEDICARE
—
Enumeration date
01/20/2006
Last updated
11/06/2007
Update your record
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