Individual
MS. MARY B. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 520-0281
(763) 520-0292
Mailing address
9758 PICKET DR, EDEN PRAIRIE, MN 55347-4765
(952) 949-9322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101398
MN
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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