Individual
ROBIN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 BLUE RIDGE EXT # I, GRANDVIEW, MO 64030-6401
(816) 761-8088
Mailing address
11410 W 106TH ST, OVERLAND PARK, KS 66214-2622
(913) 894-5187
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
2000175713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000175713
LICENSE #
MO
Enumeration date
08/29/2006
Last updated
06/06/2012
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