Organization Name: | DR DANIEL W LARSON PC |
NPI Number: | 1043388838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL WERNER LARSON (OWNER) |
Mailing Address: | 1001 E Bogard Rd Wasilla |
State: | AK US |
Postal Code: | 996547114 |
Phone Number: | 9073762225 |
Fax Number: | 9073769225 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |