Individual
MR. LARRY JOHN NOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2345 N 114TH ST, WAUWATOSA, WI 53226-1225
(414) 453-0135
Mailing address
2345 N 114TH ST, WAUWATOSA, WI 53226-1225
(414) 453-0135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1246
WI
225100000X
Physical Therapist
PT2467
CA
Other
Enumeration date
11/13/2006
Last updated
07/09/2007
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