Doctor Name: | BENGT GOSTA LARSSON |
NPI Number: | 1144426164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT |
License Number: | PT017643 |
Business Practice Address: | 2605 Egypt Rd Suite 104 Trooper, PA - 194032317 |
Business Phone Number: | 6106661702 |
Business Fax Number: | 6106661726 |
Mailing Address: | 520 Philadelphia St, INDIANA |
State: | PA |
Postal Code: | 157013902 |
Phone Number: | 7244637478 |
Fax Number: | 7244630931 |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT017643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |