Larson, Latasha

Larson, Latasha is an individual health care provider with primary practice located at 19120 Mystique Dr , Corcoran MN 55340-9586. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification is her primary health care specialty. Larson, Latasha can be contacted via phone (320) 293-3205.

Contact Information

Primary practice address
19120 Mystique Dr Corcoran MN 55340-9586
Phone: (320) 293-3205
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 103693 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X 103693 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification 225XE0001X 103693 Minnesota

Profile Details

NPI number 1346911351
LBN Legal business name Larson, Latasha
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2021
Last updated Jan 17th, 2023 - about last year

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.

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