MR. Paul Larson, DPT

NPI #1336599224 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1336599224
Entity Type: Individual
Name: MR. Paul Larson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 21, 2016
Last Updated: Jun 21, 2016

Practice Location

Address: 803 S UNIVERSITY AVE
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-3029
Phone: (920) 887-4039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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