Individual
STACY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 EVERYDAY WAY, CIBOLO, TX 78108-4080
(210) 538-3812
Mailing address
2821 BERRY WAY, SCHERTZ, TX 78154-5403
(307) 274-1179
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
118964
TX
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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