Marilyn Larson OTR

NPI 1629242060 - Occupational Therapist - 225X00000X

NPI Details
NPI 1629242060
Gender Female
Enumeration Date 04/16/2008
Last Updated 04/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
135 E PROSPECT ST
LAKE MILLS WI, 53551-1238, US
Phone (920) 648-2338
Fax
Business Location
135 E PROSPECT ST
LAKE MILLS WI, 53551-1238, US
Phone (920) 648-2338
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Wisconsin
License Number 1642-026
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According to our database, Ms. Marilyn Larson OTR NPI is 1629242060, taxonomy code is 225X00000X and license number is 1642-026, license state is located at Wisconsin. Marilyn Larson OTR physically located at 135 E Prospect St, Lake Mills WI, 53551-1238. NPI Number Marilyn Larson OTR has the Individual type.

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1629242060 NPI number is provided on an as is basis without warranty of any kind. 1629242060 is maintained by the National Plan & Provider Enumeration System. The contents of Marilyn Larson OTR are for informational purposes only.