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Contact Information

LATASHA LARSON, OT
19120 MYSTIQUE DR
CORCORAN, MN55340-9586
 Phone: 320-293-3205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
 

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LATASHA LARSON · (Female)

NPI Number 1346911351
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 09/21/2021
Last updated 01/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 103693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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