MR. Larry Nels Larsen, P.T., A.T.C., S.T.S.
NPI #1497740088 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1497740088
- Entity Type
- Individual
- Name
- MR. Larry Nels Larsen, P.T., A.T.C., S.T.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- P.T., A.T.C., S.T.S.
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1717 IRVING PL
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-4605
- Phone
- (318) 425-5604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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