Mary Jo Larson

NPI #1821206475 in Hazen, North Dakota

Provider Information

NPI Number: 1821206475
Entity Type: Individual
Name: Mary Jo Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 510 8TH AVE NE
City: Hazen
State: North Dakota
ZIP Code: 58545-4637
Phone: (701) 748-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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