Individual
BENJAMIN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
402 15TH AVE SE STE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
Mailing address
7239 SAND POINT WAY NE APT 305, SEATTLE, WA 98115-6315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60981332
WA
Other
Enumeration date
10/02/2019
Last updated
06/15/2021
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