Brendon Larsen, P.T.A.

NPI #1922544600 in Prosser, Washington

Provider Information

NPI Number
1922544600
Entity Type
Individual
Name
Brendon Larsen, P.T.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
P.T.A.
Enumeration Date
Jan 18, 2017
Last Updated
Jan 19, 2017

Practice Location

Address
326 CHARDONNAY AVE
ZIP Code
99350-9515
Phone
(509) 786-6626

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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