Individual
LARSEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9110
(844) 543-8437
(844) 543-8437
Mailing address
709 CRESCENT CIR, CANTON, GA 30115-4772
(844) 543-8437
(844) 543-8437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006160
GA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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