Individual
DENA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
451 SW SEDGWICK RD, STE. 310, PORT ORCHARD, WA 98367-6447
(360) 874-8009
(360) 874-8010
Mailing address
4851 AUTO CENTER WAY, BREMERTON, WA 98312-4308
(360) 627-7768
(360) 627-8003
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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