Individual
ROBERT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
727 S MAIN ST, SPANISH FORK, UT 84660-2449
(801) 210-9319
(801) 210-2090
Mailing address
727 S MAIN ST, SPANISH FORK, UT 84660-2449
(801) 210-9319
(801) 210-2090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9506981-4201
UT
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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