Individual
JONATHAN BEACH LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 774-2100
Mailing address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P24573
NC
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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