Individual
MS. ELLEN T LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
340 S BROADWAY ST, WICHITA, KS 67202-4304
(316) 267-5437
(316) 267-5444
Mailing address
340 S BROADWAY ST, WICHITA, KS 67202-4304
(316) 267-5437
(316) 267-5444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11--00680
KS
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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