Jeffrey Larson, PT-ATC
NPI #1073104956 in Tioga, North Dakota
Provider Information
- NPI Number
- 1073104956
- Entity Type
- Individual
- Name
- Jeffrey Larson, PT-ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT-ATC
- Enumeration Date
- Feb 2, 2021
- Last Updated
- Feb 4, 2021
Practice Location
- Address
- 810 N WELO ST
- City
- Tioga
- State
- North Dakota
- ZIP Code
- 58852-7157
- Phone
- (701) 664-3305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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