Individual
MELODIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3380 NORTHERN VALLEY PL NE # OI, ROCHESTER, MN 55906-3954
(507) 923-4000
Mailing address
5710 BAKER RD, MINNETONKA, MN 55345-5901
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
105241
MN
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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