Individual
MR. DAVID E LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
63 MELCHER ST STE 100, BOSTON, MA 02210-1534
(857) 250-4597
(857) 305-0482
Mailing address
4 RICHMOND SQ, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12053
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA 27096
HARVARD PILGRIM GROUP #
MA
01
—
Y67685
BC/BS PROVIDER NUMBER
MA
Enumeration date
07/12/2005
Last updated
10/15/2025
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