Doctor Name: | ROBIN LARSEN |
NPI Number: | 1306955109 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2000175713 |
Business Practice Address: | 12121 Blue Ridge Ext # I Grandview, MO - 640306401 |
Business Phone Number: | 8167618088 |
Business Fax Number: | |
Mailing Address: | 11410 W 106th St, OVERLAND PARK |
State: | KS |
Postal Code: | 662142622 |
Phone Number: | 9138945187 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 2000175713 |
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: |