Individual
DR. TERESA KAY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5325 SOM CENTER RD, SOLON, OH 44139-1459
(440) 785-5278
(440) 394-8132
Mailing address
5325 SOM CENTER RD, SOLON, OH 44139-1459
(440) 785-5278
(440) 394-8132
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34-007383
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523573
ANTHEM PIN
—
05
—
2283818
—
OH
Enumeration date
08/23/2006
Last updated
11/09/2016
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