Peter D Larson, DPT

NPI #1619225166 in Forest Lake, Minnesota

Provider Information

NPI Number: 1619225166
Entity Type: Individual
Name: Peter D Larson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 15, 2012
Last Updated: Jun 22, 2018

Practice Location

Address: 146 LAKE ST N
City: Forest Lake
State: Minnesota
ZIP Code: 55025-2518
Phone: (651) 464-8502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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