KELLY LARSON, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1528190998
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 643 (ND) |
Frequently Asked Questions
NPI 1528190998 is the National Provider Identifier for KELLY LARSON, PTA, a Physical Therapy Assistant provider located in Williston, ND. This NPI was enumerated on March 12, 2007.
KELLY LARSON, PTA practices at 1301 15TH AVE W, Williston, ND 58801.
Quick Facts
- NPI
- 1528190998
- Type
- Individual
- Enumerated
- Mar 12, 2007
- Last Updated
- Jul 8, 2007
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