Individual
RICHARD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
175 FRANKLIN ST, NORTH ADAMS, MA 01247-2712
(413) 664-4041
Mailing address
33 MAIN ST, P.O. BOX715, GOSHEN, MA 01032-9608
(413) 268-3562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8220
MA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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