Doctor Name: | TIFFANY CLINARD LARSON |
NPI Number: | 1699002881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6025 |
Business Practice Address: | 600 Fullwood Rd Matthews, NC - 281052659 |
Business Phone Number: | 7048414920 |
Business Fax Number: | |
Mailing Address: | 10443 Providence Arbours Dr, CHARLOTTE |
State: | NC |
Postal Code: | 282701200 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6025 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |