Larson, Nicole

Larson, Nicole is an individual health care provider with primary practice located at 90 Hope Dr , Mountain Home Afb ID 83648-1057. 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, Nicole can be contacted via phone (480) 829-0217.

Contact Information

Primary practice address
90 Hope Dr Mountain Home Afb ID 83648-1057
Phone: (480) 829-0217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 012972 Arizona

Profile Details

NPI number 1376021675
LBN Legal business name Larson, Nicole
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2018
Last updated Aug 17th, 2021 - about 5 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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