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1740396647
KATHLEEN A. LARSON
ROCKFORD, IL
NPI
1740396647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056-004031)
Enumeration Date
2006-08-22
Last Update Date
2014-12-11
Business Address
-- KATHLEEN A. LARSON O.T.
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-381-7431
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Mailing Address
-- KATHLEEN A. LARSON O.T.
BOX 78534
MILWAUKEE, WI 53278
Phone number: 815-381-7431
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