Individual
JONAH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7060 N DURANGO DR STE 130, LAS VEGAS, NV 89149-4605
(702) 826-5749
(702) 273-3015
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1288123
TX
225100000X
Physical Therapist
Primary
3620
NV
Other
Enumeration date
03/08/2017
Last updated
07/21/2022
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