Kathleen A Larson, OT | |
324 Roxbury Rd, Rockford, IL 61107-5090 | |
(815) 381-7431 | |
(815) 381-7498 |
Full Name | Kathleen A Larson |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 324 Roxbury Rd, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740396647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056-004031 (Illinois) | Primary |
Provider Name | Rockford Health Physicians |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Mailing Address | Practice Location Address |
---|---|
Kathleen A Larson, OT Box 78534, Milwaukee, WI 53278 Ph: (815) 381-7431 | Kathleen A Larson, OT 324 Roxbury Rd, Rockford, IL 61107-5090 Ph: (815) 381-7431 |
Jennifer Davidson, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Carol Linkenheld, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1311 Parkview Ave, Rockford, IL 61107 Phone: 815-399-8832 | |
Valarie Mcconville, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3057 N Perryville Rd, Rockford, IL 61114 Phone: 630-965-2225 | |
Ann Licari, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4123 Singleton Rd, Rockford, IL 61114 Phone: 815-978-4535 | |
Meghan La Marca, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 9th St, Rockford, IL 61104 Phone: 779-696-4470 | |
James J Jefko, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2550 Charles St, Rockford, IL 61108 Phone: 779-696-7550 | |
Mr. William Alan Kopke, MED, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2006 El Rancho Lane, Rockford, IL 61107 Phone: 815-977-5950 |