Individual
CARRIE J LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0764
SD
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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