Brandon Larson, PTA
NPI #1639648082 in Spring Green, Wisconsin
Provider Information
- NPI Number
- 1639648082
- Entity Type
- Individual
- Name
- Brandon Larson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Geriatrics
- Credential
- PTA
- Enumeration Date
- Nov 15, 2018
- Last Updated
- Nov 15, 2018
Practice Location
- Address
- 501 S WINSTED ST
- City
- Spring Green
- State
- Wisconsin
- ZIP Code
- 53588-9435
- Phone
- (608) 588-0208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Geriatrics — Geriatrics |
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|---|---|
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