Adiary Larson

NPI #1992572457 in Pleasanton, Texas

Provider Information

NPI Number: 1992572457
Entity Type: Individual
Name: Adiary Larson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 5, 2023
Last Updated: Dec 5, 2023

Practice Location

Address: 404 W GOODWIN ST
City: Pleasanton
State: Texas
ZIP Code: 78064-4099
Phone: (830) 569-2138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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