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Individual

JESSE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
411 N RANDALL RD STE F, LAKE IN THE HILLS, IL 60156-6335
(847) 854-9754
Mailing address
411 N RANDALL RD STE F, LAKE IN THE HILLS, IL 60156-6335
(847) 854-9754
(847) 658-8185

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2251X0800X
Orthopedic Physical Therapist
Primary
070.024525
IL

Other

Enumeration date
06/19/2019
Last updated
07/08/2025
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