MS. KIMBERLY LARSON, PTA

Physical Therapy Assistant

Active Individual
NPI: 1780003160

Practice Address

30980 SCOTT PARK RD TRLR 72
Long Grove, IA 52756

Phone: (563) 210-1308

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X No 2014009194 (MO)

Frequently Asked Questions

NPI 1780003160 is the National Provider Identifier for MS. KIMBERLY LARSON, PTA, a Physical Therapy Assistant provider located in Long Grove, IA. This NPI was enumerated on April 14, 2014.
MS. KIMBERLY LARSON, PTA practices at 30980 SCOTT PARK RD TRLR 72, Long Grove, IA 52756.

Quick Facts

NPI
1780003160
Type
Individual
Enumerated
Apr 14, 2014
Last Updated
Apr 14, 2014

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