JEFF WILLIAM LARSEN

RALEIGH, NC
NPI1467725051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A3187)
Enumeration Date2012-02-14
Last Update Date2012-02-14
Business Address
Mr. JEFF WILLIAM LARSEN PTA
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-424-5080
Mailing Address
Mr. JEFF WILLIAM LARSEN PTA
7700 BRANDYWOOD CT
RALEIGH, NC 27615-6102
Phone number: 919-931-4059