Individual
ERIC LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS-019723
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/03/2015
Last updated
03/03/2021
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