Whalio Doctors

NPI 1225217060

Laura Marie Larsen, COTAL

Practitioner Occupational Therapy Assistant Stillwater, MN

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 200519 (MN)

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.