NPI 1225217060
Laura Marie Larsen, COTAL
Practice location
- Address
- 119 Owens St N Good Samaritan Synertx Rehabilitation, Stillwater, MN 55082
- Phone
- (651) 439-7180
- Mailing address
- 4675 Dale St N, Shoreview, MN 55126
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1225217060
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Oct 2007
- Record last updated
- 29 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.