Organization
SERC HAND NORTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN R. LARSON OTR/L, CHT (OWNER/CLINIC MANAGER)
(816) 420-0286
Entity
Organization
Contact information
Practice address
7932 N OAK TRFY, SUITE 212, KANSAS CITY, MO 64118-1423
(816) 420-0286
(816) 420-8207
Mailing address
7932 N OAK TRFY, SUITE 212, KANSAS CITY, MO 64118-1423
(816) 420-0286
(816) 420-8207
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
004600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39684012
BCBS
MO
Enumeration date
12/07/2007
Last updated
11/02/2012
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