KELLY LARSON

WILLISTON, ND
NPI1528190998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ND  643)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
-- KELLY LARSON PTA
1301 15TH AVE W
WILLISTON, ND 58801-3821
Phone number: 701-774-7400
Mailing Address
-- KELLY LARSON PTA
1301 15TH AVE W
WILLISTON, ND 58801-3821
Phone number: 701-774-7400