Bonnie Larsen
Occupational Therapist - Pediatrics Occupational Therapist - Neurorehabilitation
100 Mario Capecchi Dr
Slc
, Utah 84113-1103
Bonnie Larsen
Occupational Therapist - Pediatrics Occupational Therapist - Neurorehabilitation
100 Mario Capecchi Dr
Slc
, Utah 84113-1103
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Bonnie Larsen
- 1183 University Vlg
- Slc, UT
- Zip : 84108-3505
- Phone :
Second Address
- Bonnie Larsen
- 100 Mario Capecchi Dr
- Slc, UT
- Zip : 84113-1103
- Phone : (801) 755-3792
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 6609718-4201 | UT |
| N | 225XP0200X | Occupational Therapist - Pediatrics | 6609718-4201 | UT |
National Provider Identifier
| NPI | 1578962007 |
|---|---|
| Provider Name | Bonnie Larsen |
| First Address | Slc, UT 84108-3505 |
| Second Address | Slc, UT 84113-1103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2014 |
| Last Update Date | 20/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.