Individual
DENA LARSEN
Active
Individual
DENA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60095067
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PU60095046
INTERIM PERMIT
WA
Enumeration date
07/10/2009
Last updated
08/09/2023
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