| Doctor Name: | MR. MARK THOMAS LAREAU |
| NPI Number: | 1134245285 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 4571 |
| Business Practice Address: | 118 Summer St North Easton, MA - 023562240 |
| Business Phone Number: | 5082389694 |
| Business Fax Number: | |
| Mailing Address: | 118 Summer St, NORTH EASTON |
| State: | MA |
| Postal Code: | 023562240 |
| Phone Number: | 5082389694 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251C2600X |
| License Number: | 4571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Cardiopulmonary |
| Taxonomy Definition: | |