Individual
SARA ELIZABETH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-2148
Mailing address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-2148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
031005431A
IN
Other
Enumeration date
02/18/2013
Last updated
06/17/2013
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