Individual
ANNA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 N ANNIE GLIDDEN RD, DEKALB, IL 60115-1207
(815) 758-2477
Mailing address
124 E LINCOLN HWY APT 210, DEKALB, IL 60115-5505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016772
IL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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