Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY LARSON, PTA
Active Sole ProprietorMS. KIMBERLY LARSON, PTA is a Occupational Therapist healthcare provider located in LONG GROVE, Iowa. NPI 1780003160 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LONG GROVE, IA
Registration Details
- NPI Number
- 1780003160
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2014 (12.304933917559 yrs)
- Last Updated
- Apr 14, 2014
- Licenses
-
01072 (IA)160004520 (IL)2014009194 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30980 SCOTT PARK RD TRLR 72LONG GROVE, IA, 527569641Browse IA providers · Browse ZIP 52756
- Phone
- 5632101308
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.