Individual
ADIARY LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 W GOODWIN ST, PLEASANTON, TX 78064-4099
(830) 569-2138
Mailing address
1102 S RIDGE CIR, COTTONWOOD, AZ 86326-4338
(602) 435-4262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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