Marissa Jo Larson

NPI #1871368589 in Menomonie, Wisconsin

Provider Information

NPI Number: 1871368589
Entity Type: Individual
Name: Marissa Jo Larson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 22, 2023
Last Updated: Nov 22, 2023

Practice Location

Address: 2407 STOUT RD
City: Menomonie
State: Wisconsin
ZIP Code: 54751-2344
Phone: (715) 233-7740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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