Individual
ANNA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5868 BAKER RD, MINNETONKA, MN 55345-5903
(952) 767-4200
Mailing address
5868 BAKER RD, MINNETONKA, MN 55345-5903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10426
MN
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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