Individual provider · Type 1 NPI

Mary St. John Larson, LMT, CMTPT

Specialist · Orange Park, FL

NPI number 1043346687 Active

Practice location

2301 Park Ave, #209
Orange Park, FL 32073-5565

Call (904) 215-9923 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 39861 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

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About NPI 1043346687

Mary St. John Larson, LMT, CMTPT's National Provider Identifier is 1043346687, issued on Feb 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange Park, FL. The record was last updated on Dec 5, 2013.