Mae Marie Larson

NPI #1285127878 in Rockford, Illinois

Provider Information

NPI Number
1285127878
Entity Type
Individual
Name
Mae Marie Larson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Jun 8, 2018
Last Updated
Jun 8, 2018

Practice Location

Address
1401 E STATE ST
ZIP Code
61104-2315
Phone
(815) 489-4595

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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