Individual
KATHRYN N LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
60 PEMBROKE ST, NEWTON, MA 02458-2449
(617) 964-3314
Mailing address
60 PEMBROKE ST, NEWTON, MA 02458-2449
(617) 964-3314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9578
MA
Other
Enumeration date
05/08/2015
Last updated
07/21/2015
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