# LARSEN PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043336365
- **Authorized official:** MR. LARRY N LARSEN P.T. (PRESIDENT)
- **Authorized official phone:** (318) 425-5604

## Contact information

- **Practice address:** 1717 IRVING PL, SHREVEPORT, LA 71101-4605
- **Practice address phone:** (318) 425-5604
- **Practice address fax:** (318) 222-8165
- **Mailing address:** 1717 IRVING PL, SHREVEPORT, LA 71101-4605
- **Mailing address phone:** (318) 425-5604
- **Mailing address fax:** (318) 222-8165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0321 | LA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020