Larissa Hampton

NPI #1093130064 in Lake Mills, Wisconsin

Provider Information

NPI Number: 1093130064
Entity Type: Individual
Name: Larissa Hampton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 26, 2014
Last Updated: Feb 26, 2014

Practice Location

Address: 901 MULBERRY ST
City: Lake Mills
State: Wisconsin
ZIP Code: 53551-1335
Phone: (920) 648-8344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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