Organization
LARSON ENDEAVORS PLLC
Active
Other names
Orthopedic & Sports Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN-MONROE LARSON PT, DPT, LMT (OWNER & LEAD PHYSICAL THERAPIST)
(480) 381-1344
Entity
Organization
Contact information
Practice address
1309 W GUADALUPE RD, SUITE 1, MESA, AZ 85202-9112
(480) 280-9625
(480) 718-7628
Mailing address
1309 W GUADALUPE RD, SUITE 1, MESA, AZ 85202-9112
(480) 280-9625
(480) 718-7628
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9105
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560177
—
AZ
Enumeration date
12/20/2012
Last updated
08/18/2015
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