Individual
TREVOR J LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 FALMOUTH RD, CENTERVILLE, MA 02632-2939
(508) 775-0060
Mailing address
1600 FALMOUTH RD, CENTERVILLE, MA 02632-2939
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
23512
MA
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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