Individual
LARSEN WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11660 ALPHARETTA HWY, ROSWELL, GA 30076-4943
(678) 697-2932
(470) 533-1522
Mailing address
11660 ALPHARETTA HWY, ROSWELL, GA 30076-4943
(678) 697-2932
(470) 533-1522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002973
GA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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