Individual
MRS. LARISSA RACHEL ELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR
Contact information
Practice address
11 MAYFAIR COURT, EAST BRUNSWICK, NJ 08816
(732) 718-1772
Mailing address
11 MAYFAIR CT, EAST BRUNSWICK, NJ 08816-3508
(732) 718-1772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00028000
NJ
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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