Individual
MR. ADAM THOMAS LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 ADAMS AVE, SCRANTON, PA 18509-1514
(570) 348-6211
Mailing address
7303 WHITE BIRCH LN, CRESCO, PA 18326-7928
(570) 460-8006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2016
Last updated
04/10/2016
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