Individual
MATTHEW LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
433 MENDOTA RD E, WEST ST PAUL, MN 55118-5104
(763) 957-7750
Mailing address
7551 9TH ST N STE 100, OAKDALE, MN 55128-6632
(651) 747-4328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11283
MN
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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