Individual
WILLIAM GLENN LARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LIC PHYSICAL THERAPI
Contact information
Practice address
1510 LAKESHORE DRIVE, HOT SPRINGS, AR 71913
(507) 760-7440
(501) 760-7442
Mailing address
284 HIDDEN VALLEY, HOT SPRINGS, AR 71913
(501) 525-0222
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2022
TX
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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