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Individual

DR. JAMIE MAE LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1445 N BELL ST, FREMONT, NE 68025-3534
(402) 512-3893
Mailing address
1219 COUNTY ROAD 13, WAHOO, NE 68066-4122
(402) 277-0388

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4295
NE

Other

Enumeration date
10/21/2021
Last updated
10/21/2021
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