Individual
EMILY LYNN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 LINCOLNWAY, VALPARAISO, IN 46383-5824
(219) 462-4193
Mailing address
1300 LINCOLNWAY, VALPARAISO, IN 46383-5824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014567A
IN
225100000X
Physical Therapist
070024524
IL
Other
Enumeration date
08/19/2019
Last updated
07/26/2022
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