BONNIE LARSEN

SLC, UT
NPI1578962007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XN1300X Occupational Therapist Neurorehabilitation
(Licence: UT  6609718-4201)
Additional Taxonomies225XP0200X Occupational Therapist Pediatrics
(Licence: UT  6609718-4201)
Enumeration Date2014-08-20
Last Update Date2014-08-20
Business Address
BONNIE LARSEN
100 MARIO CAPECCHI DR
SLC, UT 84113-1103
Phone number: 801-755-3792
Mailing Address
BONNIE LARSEN
1183 UNIVERSITY VLG
SLC, UT 84108-3505
Phone number: