Individual
DARRELL LARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(312) 301-0411
Mailing address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(312) 301-0411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4285
AZ
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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