Individual
MCKENNA PATRICIA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D-PT
Contact information
Practice address
311 N 3RD AVE, STURGEON BAY, WI 54235-2401
(920) 743-0255
(920) 743-6680
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15680
WI
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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