STACY LYNN LARSON

MOKENA, IL
NPI1326383688
Professional NameSTACY LARSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  057000615)
Enumeration Date2012-11-27
Last Update Date2012-11-27
Business Address
MRS. STACY LYNN LARSON
19015 S JODI RD STE A
MOKENA, IL 60448-8534
Phone number: 708-478-7786
Mailing Address
MRS. STACY LYNN LARSON
251 TIMBERS BLUFF TRL
BEECHER, IL 60401-5112
Phone number: 708-946-9809