Individual
MRS. ELAINE P LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT CHT
Contact information
Practice address
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201000631
MI
Other
Enumeration date
03/16/2006
Last updated
09/10/2013
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