Doctor Name: | MRS. DEBRA ROXANN LARKINS |
NPI Number: | 1003247867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, CHT |
License Number: | 000435 |
Business Practice Address: | 1565 Ne Douglas St Lees Summit, MO - 640864611 |
Business Phone Number: | 8163471596 |
Business Fax Number: | 8163471806 |
Mailing Address: | 1565 Ne Douglas St, LEES SUMMIT |
State: | MO |
Postal Code: | 640864611 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/04/2013 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 000435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |