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Individual

SHELBY ELIZABETH LARSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1703 W STONES CROSSING RD STE 120, GREENWOOD, IN 46143-8558
(317) 528-2018
(317) 528-2907
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006710A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300024970
IN
Enumeration date
08/29/2014
Last updated
02/20/2023
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