Individual
MRS. SARAH MAE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12708 RIATA VISTA CIR, AUSTIN, TX 78727-7167
(512) 795-2423
Mailing address
112 BOLE CV, GEORGETOWN, TX 78628-7325
(808) 829-2947
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
294455
TX
Other
Enumeration date
12/12/2017
Last updated
12/08/2022
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