Bonnie Larsen

NPI #1578962007 in Slc, Utah

Provider Information

NPI Number: 1578962007
Entity Type: Individual
Name: Bonnie Larsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist - Neurorehabilitation
Enumeration Date: Aug 20, 2014
Last Updated: Aug 20, 2014

Practice Location

Address: 100 MARIO CAPECCHI DR
City: Slc
State: Utah
ZIP Code: 84113-1103
Phone: (801) 755-3792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Neurorehabilitation — Neurorehabilitation	225XN1300X	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X

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