Individual
AMY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14451 GRAND AVE, BURNSVILLE, MN 55306-5708
(952) 993-5900
Mailing address
14451 GRAND AVE, BURNSVILLE, MN 55306-5708
(952) 993-5900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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