Brent H Larson PT

NPI 1003853326 - Physical Therapist - 225100000X

NPI Details
NPI 1003853326
Gender Male
Enumeration Date 06/02/2006
Last Updated 02/14/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
SOMERSET WI, 54025-7382, US
Phone (715) 247-5735
Fax (715) 247-5738
Business Location
7581 9TH ST N
OAKDALE MN, 55128-6626, US
Phone (651) 748-4338
Fax (651) 748-2892
Taxonomy Code 225100000X
License State Minnesota
License Number 7714
Remove 1003853326 NPI Number

According to our database, Brent H Larson PT NPI is 1003853326, taxonomy code is 225100000X and license number is 7714, license state is located at Minnesota. Brent H Larson PT physically located at 709 Rivard St, Somerset WI, 54025-7382. NPI Number Brent H Larson PT has the Individual type.

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1003853326 NPI number is provided on an as is basis without warranty of any kind. 1003853326 is maintained by the National Plan & Provider Enumeration System. The contents of Brent H Larson PT are for informational purposes only.