DONALD LEE LARSEN

JACKSONVILLE, FL
NPI1780954552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA8970)
Enumeration Date2012-01-10
Last Update Date2012-01-10
Business Address
-- DONALD LEE LARSEN COTA/L, RN
11565 HARTS RD
JACKSONVILLE, FL 32218-3777
Phone number: 904-751-1834
Mailing Address
-- DONALD LEE LARSEN COTA/L, RN
4205 VICTORIA LAKES DR W
JACKSONVILLE, FL 32226-0705
Phone number: 904-502-3866