Larson, Judith A

Larson, Judith A is an individual health care provider with primary practice located at 1970 Navajo St , Rhinelander WI 54501-8890. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Larson, Judith A can be contacted via phone (715) 420-1593.

Contact Information

Primary practice address
1970 Navajo St Rhinelander WI 54501-8890
Phone: (715) 420-1593
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1711 Wisconsin

Profile Details

NPI number 1043251267
LBN Legal business name Larson, Judith A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 11th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043251267 NPPES
Wisconsin MEDICAID 100012286
Wisconsin MEDICAID 40005600

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