Individual
MR. ALLEN MICHAEL LARSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
128 NELSON FIELD HOUSE, BLOOMSBURG UNIVERSITY, BLOOMSBURG, PA 17815
(570) 389-4369
(570) 389-2099
Mailing address
1761 MAIN ST, BLOOMSBURG, PA 17815-8841
(570) 387-5121
(570) 389-2099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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