Ashlee Gail Larsen DPT

NPI 1447563978 - Physical Therapist - 225100000X

NPI Details
NPI 1447563978
Gender Female
Enumeration Date 07/26/2010
Last Updated 11/13/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
10020 PROFESSIONAL CENTER DRIVE
SUITE 100
HAMBURG MI, 48139, US
Phone (810) 231-6904
Fax (810) 231-6906
Business Location
790 REMINGTON BLVD
BOLINGBROOK IL, 60440-4909, US
Phone (630) 296-2223
Fax
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501013958
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According to our database, Miss Ashlee Gail Larsen DPT NPI is 1447563978, taxonomy code is 225100000X and license number is 5501013958, license state is located at Michigan. Ashlee Gail Larsen DPT physically located at 10020 Professional Center Drive, Hamburg MI, 48139. NPI Number Ashlee Gail Larsen DPT has the Individual type.

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1447563978 NPI number is provided on an as is basis without warranty of any kind. 1447563978 is maintained by the National Plan & Provider Enumeration System. The contents of Ashlee Gail Larsen DPT are for informational purposes only.