Individual
MRS. TARA LYNN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1425 W ELLIOT RD STE 203, GILBERT, AZ 85233-5142
(480) 265-6325
Mailing address
3717 E CAMDEN AVE, SAN TAN VALLEY, AZ 85140-6786
(623) 695-5896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-002217
AZ
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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