Individual
LARISSA LEA TREAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1565 S GILBERT ST, IOWA CITY, IA 52240-4367
(319) 351-5437
(319) 351-5432
Mailing address
1565 S GILBERT ST, IOWA CITY, IA 52240-4367
(319) 351-5437
(319) 351-5432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001845
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
09/14/2007
Last updated
03/03/2008
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