Organization
ADAPTIFY HOME SAFETY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA LARSON OTR/L (OWNER)
(320) 293-3205
Entity
Organization
Contact information
Practice address
19120 MYSTIQUE DR, CORCORAN, MN 55340-9586
(320) 293-3205
Mailing address
19120 MYSTIQUE DR, CORCORAN, MN 55340-9586
(320) 293-3205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
Other
Enumeration date
10/10/2022
Last updated
01/19/2023
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