Individual
GRAYDON DAN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
10975 S STERLING VIEW DR STE 1C, SOUTH JORDAN, UT 84095-4109
(833) 783-2229
Mailing address
859 E JOHNSON WAY DR, SANDY, UT 84094-6345
(801) 386-3967
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12814739-4201
UT
Other
Enumeration date
08/31/2021
Last updated
05/11/2026
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