Individual
LAUREN GRACE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 NW 36TH ST, OKLAHOMA CITY, OK 73112-2970
(405) 702-9032
Mailing address
3838 NW 36TH ST, OKLAHOMA CITY, OK 73112-2970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5495
OK
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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