Individual
JULIE LYNN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 N BROADWAY, SANTA ANA, CA 92706-2663
(714) 221-6400
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(855) 543-0333
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
13148
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
13148
CA
Other
Enumeration date
11/02/2012
Last updated
01/09/2019
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