Male or Other

Dan Larsen ATR, PTA, CSCS

Other Technician in Woodbury, MN(View on Map)

Full Name

Dan Larsen ATR, PTA, CSCS

NPI Number

1851791289

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/04/2014

Specialties

(Taxonomies)

Code

247200000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2596 DOROTHY AVE
2090 WOODWINDS DR

City

White Bear Lake
Woodbury

State

MN
MN

Postal Code

55110-4911
55125-2522

Country

US
US

Telephone Number

N/A
(651) 332-1436

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/04/2014

Provider Address

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