Individual
MR. PAUL MATTHEW LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2510 E 7TH AVE, FLAGSTAFF, AZ 86004-3719
(928) 522-0364
(928) 522-0439
Mailing address
PO BOX 2395, FLAGSTAFF, AZ 86003-2395
(928) 522-0364
(928) 522-0439
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3942
AZ
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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