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Individual

DANA LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S. OTR/L, CBIS

Contact information

Practice address
3721 WESTERRE PKWY, STE B, RICHMOND, VA 23233-1332
(804) 270-5484
Mailing address
13454 N GAYTON RD, RICHMOND, VA 23233-7013
(804) 364-3305

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
0119006624
VA

Other

Enumeration date
12/03/2015
Last updated
12/03/2015
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