Individual
MR. LARRY R FRESHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3010 SE BLVD, # F, SPOKANE, WA 99223
(509) 533-9003
(509) 533-9010
Mailing address
105 W 8TH, # 170, SPOKANE, WA 99204-2312
(509) 838-4700
(509) 838-4716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00007067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158987
LTI
WA
05
—
8335135
—
WA
Enumeration date
02/15/2006
Last updated
04/17/2014
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