| Doctor Name: | KATHY E LARSON |
| NPI Number: | 1033194113 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT6283 |
| Business Practice Address: | 27882 Forbes Rd Suite 110 Laguna Niguel, CA - 926771267 |
| Business Phone Number: | 9493642955 |
| Business Fax Number: | 9493641799 |
| Mailing Address: | 26522 La Alameda, Suite 120 MISSION VIEJO |
| State: | CA |
| Postal Code: | 926916330 |
| Phone Number: | 9492821600 |
| Fax Number: | 9493670518 |
| NPI Enumeration Date: | 12/12/2005 |
| NPI Last Update Date: | 06/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT6283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |