Individual
PAUL ERIK LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 BROOKLYN STREET/BUSINESS ROUTE 6, CARBONDALE, PA 18407
(570) 282-4500
(570) 281-7102
Mailing address
673 GREAT BEND TPKE, PLEASANT MOUNT, PA 18453-4544
(570) 448-2598
(570) 281-7102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002358A
PA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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