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1851944078
ANDREW LARSON
COLUMBUS, WI
NPI
1851944078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13415-24)
Enumeration Date
2019-07-17
Last Update Date
2024-03-13
Business Address
ANDREW LARSON PT, DPT, MS, CMI
1515 PARK AVE
COLUMBUS, WI 53925-2402
Phone number: 920-623-2200
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Mailing Address
ANDREW LARSON PT, DPT, MS, CMI
1515 PARK AVE
COLUMBUS, WI 53925-2402
Phone number: 920-623-2200
Copy
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