SUSAN LARSON

LIBERTYVILLE, IL
NPI1184835308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056001167)
Enumeration Date2007-05-28
Last Update Date2007-07-08
Business Address
-- SUSAN LARSON
15357 W WILDWOOD CT
LIBERTYVILLE, IL 60048-1496
Phone number: 847-370-8729
Mailing Address
-- SUSAN LARSON
15357 W WILDWOOD CT
LIBERTYVILLE, IL 60048-1496
Phone number: 847-370-8729