Individual
MRS. STEPHANIE J LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 S US HIGHWAY 59, PARSONS, KS 67357-4948
(620) 820-5265
Mailing address
17320 OTTAWA RD, ERIE, KS 66733-5032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02502
KS
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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