Individual
MS. AMY ELIZABETH LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
30 N BRAINARD ST, NAPERVILLE, IL 60540-4607
(630) 637-5533
Mailing address
13301 W PINE GROVE CT, HOMER GLEN, IL 60491-8610
(708) 301-0309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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