Stacy Lynn Larson

Occupational Therapist · Mokena, IL

Individual Active NPI

NPI number 1326383688

Practice location

19015 S Jodi Rd Ste a
Mokena, IL 60448-8534
Phone
(708) 478-7786

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NPI record

NPI
1326383688
Entity type
Individual (Type 1)
Enumeration date
November 27, 2012
Last updated
November 27, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 057000615 IL

Mailing address

251 Timbers Bluff Trl
Beecher, IL 60401-5112
Phone
(708) 946-9809

About Stacy Larson

Stacy Lynn Larson is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 19015 S Jodi Rd Ste a, Mokena, IL 60448-8534. The NPI number 1326383688 was assigned on November 27, 2012 and the record was last updated on November 27, 2012.

Stacy Larson lists a license in the registry: #057000615 (IL) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacy Lynn Larson?

The NPI number is 1326383688.

What is the phone number of Stacy Larson?

The phone number listed for the practice location is (708) 478-7786.

Where is Stacy Larson located?

19015 S Jodi Rd Ste a, Mokena, IL 60448-8534.

What is the taxonomy code for Stacy Larson?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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