Individual
MS. KAREN ANN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
150 AVE B SE, WINTER HAVEN, FL 35880
(863) 294-1429
(863) 298-0299
Mailing address
150 AVE B SE, WINTER HAVEN, FL 35880
(863) 294-1429
(863) 298-0299
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 12451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 12451
STATE LICENSE
FL
Enumeration date
10/02/2006
Last updated
04/01/2008
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