Andrew Larson III, PT

NPI #1558430488 in Roscoe, Illinois

Provider Information

NPI Number
1558430488
Entity Type
Individual
Name
Andrew Larson III, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Nov 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4675 BLUESTEM RD
City
Roscoe
ZIP Code
61073-7788
Phone
(815) 623-9930

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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