Individual
DR. ZANE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ECS, OCS
Contact information
Practice address
1600 W UNIVERSITY AVE, #106, FLAGSTAFF, AZ 86001-3114
(928) 526-3031
Mailing address
1600 W UNIVERSITY AVE, #106, FLAGSTAFF, AZ 86001-3114
(928) 526-3031
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
5758
AZ
2251X0800X
Orthopedic Physical Therapist
Primary
5758
AZ
Other
Enumeration date
11/22/2006
Last updated
02/09/2011
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