Larson, Samantha Jo
Larson, Samantha Jo is an sole proprietor health care provider with primary practice located at 2240 Plymouth Rd Apt 101 , Minnetonka MN 55305-2348. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Larson, Samantha Jo can be contacted via phone (952) 270-8166.Contact Information
Primary practice address
2240 Plymouth Rd Apt 101
Minnetonka MN 55305-2348
Phone: (952) 270-8166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 107278 | Minnesota |
Profile Details
| NPI number | 1386420289 |
|---|---|
| LBN Legal business name | Larson, Samantha Jo |
| Credentials | OTD, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2023 |
| Last updated | Sep 6th, 2023 - about 3 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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