Larson, Antoinette Marie

Larson, Antoinette Marie is an individual health care provider with primary practice located at 384 Chateaugay Ln , Chesterfield MO 63017-2849. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Larson, Antoinette Marie can be contacted via phone (314) 485-1180.

Contact Information

Primary practice address
384 Chateaugay Ln Chesterfield MO 63017-2849
Phone: (314) 485-1180
Fax: (314) 485-1160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 000915 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 000915 Missouri

Profile Details

NPI number 1235273780
LBN Legal business name Larson, Antoinette Marie
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235273780 NPPES
Missouri MEDICAID 473528941

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