Individual
DIANE L LARSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CMT
Contact information
Practice address
500 E WASHINGTON ST UNIT 23, COMPREHENSIVE THERAPY CENTER, NORTH ATTLEBORO, MA 02760-6303
(508) 643-3800
(508) 643-3809
Mailing address
500 EAST WASHINGTON ST., UNIT 23, COMPREHENSIVE THERAPY CENTER, NORTH ATTLEBORO, MA 02760
(508) 643-3800
(508) 643-3809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8800
MA
225100000X
Physical Therapist
PT01513
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21066-7
BCBS OF RI
RI
01
—
307580
HARVARD PILGRIM
MA
01
—
406546
BLUE CHIP
RI
01
—
6400276
UNITED HEALTHCARE
MA
01
—
Y66998
BCBS OF MA
MA
Enumeration date
03/22/2007
Last updated
07/08/2007
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