Larson, Antoinette Marie
Larson, Antoinette Marie is an individual health care provider with primary practice located at 384 Chateaugay Ln , Chesterfield MO 63017-2849. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Larson, Antoinette Marie can be contacted via phone (314) 485-1180.Contact Information
Primary practice address
384 Chateaugay Ln
Chesterfield MO 63017-2849
Phone: (314) 485-1180
Fax: (314) 485-1160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 000915 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 000915 | Missouri |
Profile Details
| NPI number | 1235273780 |
|---|---|
| LBN Legal business name | Larson, Antoinette Marie |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235273780 | NPPES |
| Missouri | MEDICAID | 473528941 |
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