Individual
SUSAN M LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 COUNTY ST, NEW BEDFORD, MA 02740-4995
(508) 997-1570
Mailing address
1236 MAIN ST, ACUSHNET, MA 02743-1006
(508) 763-0068
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
AH-2146
MA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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