Mae Marie Larson
Mae Marie Larson is an Occupational Therapist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
Practice location Address checks out
1401 E State StRockford, IL 61104-2315
Phone: (815) 489-4595
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 056.008122 (IL) |
|---|
Record details
| NPI number | 1285127878 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 8, 2018 |
| Last updated in NPPES | June 8, 2018 |
| Mailing address | 1401 E State St, Rockford, IL 61104-2315 |
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