Individual
MR. MARK TODD LARSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1000 EASTON RD STE 207, WYNCOTE, PA 19095-2900
(215) 517-7551
Mailing address
1000 EASTON RD STE 207, WYNCOTE, PA 19095-2900
(215) 517-7551
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC017203
PA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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