Individual
CAROLYN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2000
(602) 707-2040
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2000
(602) 707-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6528
AZ
Other
Enumeration date
08/10/2016
Last updated
04/19/2018
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