Individual
CATHERINE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 SPRING ST, ROSELLE, IL 60172-3053
(815) 514-3557
Mailing address
608 SPRING ST, ROSELLE, IL 60172-3053
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003867
IL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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