Individual
MS. MICHELLE I LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8TH AVENUE AND C STREET, OUTPATIENT NUERO REHABILITATION, SALT LAKE CITY, UT 84143
(801) 408-5484
Mailing address
8TH AVENUE AND C STREET, OUTPATIENT NUERO REHABILITATION, SALT LAKE CITY, UT 84143
(801) 408-5484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7345474-4102
UT
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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