PETER D LARSON

FOREST LAKE, MN
NPI1619225166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  9134)
Enumeration Date2012-08-15
Last Update Date2018-06-22
Business Address
PETER D LARSON DPT
146 LAKE ST N
FOREST LAKE, MN 55025-2518
Phone number: 651-464-8502
Mailing Address
PETER D LARSON DPT
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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