Individual
LARISSA COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-6026
(785) 890-6025
Mailing address
605 E 5TH ST, GOODLAND, KS 67735-2003
(785) 890-7433
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02311
KS
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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