Individual
MRS. KRISTINE MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
800 MEDICAL CENTER DR, NEWTON, KS 67114-7808
(316) 836-4700
(316) 836-4750
Mailing address
217 S BELMONT ST, WICHITA, KS 67218-1303
(785) 213-3369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103681
KS
Other
Enumeration date
04/17/2007
Last updated
04/26/2010
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