MR. JOSEPH LARSEN

Day Training/Habilitation Specialist

Active Individual
NPI: 1174721732

Practice Address

2257 DIANE LANE
Pocatello, ID 83201

Phone: (208) 237-4529

Specialties

Specialty Code Primary License
Day Training/Habilitation Specialist 373H00000X Yes -

Frequently Asked Questions

NPI 1174721732 is the National Provider Identifier for MR. JOSEPH LARSEN, a Day Training/Habilitation Specialist provider located in Pocatello, ID. This NPI was enumerated on July 5, 2007.
MR. JOSEPH LARSEN practices at 2257 DIANE LANE, Pocatello, ID 83201.

Quick Facts

NPI
1174721732
Type
Individual
Enumerated
Jul 5, 2007
Last Updated
Jul 8, 2007

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