Individual
STEFANIE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAGUIRE RD, LEXINGTON, MA 02421
(781) 860-1769
Mailing address
9 STANDISH RD, STONEHAM, MA 02180-2346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10316
MA
225X00000X
Occupational Therapist
Primary
10316
MA
Other
Enumeration date
04/25/2011
Last updated
08/29/2018
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