Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 000435 | MO |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 17-01200 | KS |
NPI | 1003247867 |
---|---|
Provider Name | Mrs. Debra Roxann Larkins |
First Address | Lees Summit, MO 64086-4611 |
Second Address | Lees Summit, MO 64086-4611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2013 |
Last Update Date | 17/01/2022 |