Individual
MRS. RITA LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2837 AMERICAN ST STE A, SPRINGDALE, AR 72764-6927
(479) 595-0599
Mailing address
2472 RIVERFRONT LN, FAYETTEVILLE, AR 72703-9524
(614) 353-9897
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1478
AR
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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