Individual
ASIA KAY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 W ACACIA ST, STOCKTON, CA 95203-2405
(209) 944-5550
Mailing address
10141 SW FLORIDA RD, COLONY, KS 66015-9251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-01577
KS
225X00000X
Occupational Therapist
Primary
25793
CA
225X00000X
Occupational Therapist
OT24576
FL
Other
Enumeration date
03/29/2022
Last updated
11/24/2024
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