Larissa Gethard
Larissa Gethard is an Early Intervention Provider Agency in Bronx, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
3030 Johnson AveBronx, NY 10463-3540
Phone: (732) 232-0195
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (NY) |
|---|
Record details
| NPI number | 1093109282 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2015 |
| Last updated in NPPES | March 25, 2015 |
| Mailing address | 3030 Johnson Ave, Bronx, NY 10463-3540 |
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