Individual
LATASHA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
19120 MYSTIQUE DR, CORCORAN, MN 55340-9586
(320) 293-3205
Mailing address
19120 MYSTIQUE DR, CORCORAN, MN 55340-9586
(320) 293-3205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103693
MN
225XE0001X
Environmental Modification Occupational Therapist
Primary
103693
MN
225XG0600X
Gerontology Occupational Therapist
103693
MN
Other
Enumeration date
09/21/2021
Last updated
01/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us