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Contact Information

LAURA M LARSEN, COTAL
119 OWENS ST N
GOOD SAMARITAN SYNERTX REHABILITATION
STILLWATER, MN55082
 Phone: 651-439-7180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LAURA M LARSEN · (Female)

NPI # 1225217060
Status Active
Credentials COTAL
Entity Individual
Enumeration date 10/29/2007
Last updated 10/29/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 200519
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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