Individual
MRS. CANDICE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 622-5400
Mailing address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008933
IL
Other
Enumeration date
03/22/2011
Last updated
07/15/2014
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