Elizabeth Larsen, B.S.

NPI #1265892210 in Ponderay, Idaho

Provider Information

NPI Number: 1265892210
Entity Type: Individual
Name: Elizabeth Larsen, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: B.S.
Enumeration Date: Mar 3, 2016
Last Updated: Mar 3, 2016

Practice Location

Address: 207 LARKSPUR ST
City: Ponderay
State: Idaho
ZIP Code: 83852-5011
Phone: (208) 610-8652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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