Organization
LARSEN PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY N LARSEN P.T. (PRESIDENT)
(318) 425-5604
Entity
Organization
Contact information
Practice address
1717 IRVING PL, SHREVEPORT, LA 71101-4605
(318) 425-5604
(318) 222-8165
Mailing address
1717 IRVING PL, SHREVEPORT, LA 71101-4605
(318) 425-5604
(318) 222-8165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0321
LA
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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