Individual
KRISTEN R LARSON
Active
Individual
KRISTEN R LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
004600
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39315041
BCBS KC
—
01
—
MA4370038
MEDICARE PTAN
MO
Enumeration date
07/31/2007
Last updated
01/27/2014
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