Individual
JOSEPH D LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 STANLEY ST, NEW BRITAIN, CT 06050-2439
(860) 832-3086
Mailing address
23 PARK LN E, NEW MILFORD, CT 06776-2528
(203) 300-4037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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