Individual
MISS MICHELE D LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E SUMACH ST, #4, WALLA WALLA, WA 99362-1281
(509) 520-3273
Mailing address
401 E SUMACH ST., #4, WALLA WALLA, WA 99362
(509) 520-2373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 00001175
WA
Other
Enumeration date
04/18/2007
Last updated
06/08/2010
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