Benjamin Larson, DPT, PT

NPI #1962801043 in Monroe, Wisconsin

Provider Information

NPI Number: 1962801043
Entity Type: Individual
Name: Benjamin Larson, DPT, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, PT
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 515 22ND AVE
City: Monroe
State: Wisconsin
ZIP Code: 53566-1569
Phone: (608) 324-1178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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