Individual
LORI LARSON-PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 LESTER DR NE, ALBUQUERQUE, NM 87112-2607
(505) 296-4808
Mailing address
5764 N. ORANGE BLOSSOM TRL, PMB 96747, ORLANDO, FL 32810
(570) 575-7359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.0002629
CO
225X00000X
Occupational Therapist
Primary
OT4723
NM
Other
Enumeration date
06/27/2019
Last updated
06/20/2023
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