Doctor Name: | MRS. DENISE ANNE EXSTROM LARSEN |
NPI Number: | 1174661581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 661 |
Business Practice Address: | 3818 Normal Boulevard Lincoln, NE - 68506 |
Business Phone Number: | 4024884282 |
Business Fax Number: | 4024886157 |
Mailing Address: | 3818 Normal Boulevard, LINCOLN |
State: | NE |
Postal Code: | 68506 |
Phone Number: | 4024884282 |
Fax Number: | 4024886157 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |