Larson, Paul

Larson, Paul is an individual health care provider with primary practice located at 803 S University Ave , Beaver Dam WI 53916-3029. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Larson, Paul can be contacted via phone (920) 887-4039.

Contact Information

Primary practice address
803 S University Ave Beaver Dam WI 53916-3029
Phone: (920) 887-4039
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13114-24 Wisconsin

Profile Details

NPI number 1336599224
LBN Legal business name Larson, Paul
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2016
Last updated Jun 21st, 2016 - about 10 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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