Latasha Larson, OT

NPI #1346911351 in Corcoran, Minnesota

Provider Information

NPI Number: 1346911351
Entity Type: Individual
Name: Latasha Larson, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist - Environmental Modification
Credential: OT
Enumeration Date: Sep 21, 2021
Last Updated: Jan 17, 2023

Practice Location

Address: 19120 MYSTIQUE DR
City: Corcoran
State: Minnesota
ZIP Code: 55340-9586
Phone: (320) 293-3205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Occupational Therapist - Gerontology — Gerontology	225XG0600X
Occupational Therapist - Environmental Modification — Environmental Modification	225XE0001X	Primary

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