Individual
ARNOLD DEAN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00798
IA
225100000X
Physical Therapist
297084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481747
—
IA
05
—
06-65463
—
IA
01
—
1026826
PREFERRED ONE
MN
01
—
47815LA
BC/BS OF MINNESOTA
MN
01
—
59409
WELLMARK BC/BS OF IA
IA
Enumeration date
05/17/2006
Last updated
12/16/2024
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