Individual
BENGT GOSTA LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
2605 EGYPT RD, SUITE 104, TROOPER, PA 19403-2317
(610) 666-1702
(610) 666-1726
Mailing address
520 PHILADELPHIA ST, INDIANA, PA 15701-3902
(724) 463-7478
(724) 463-0931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017643
PA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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