BENJAMIN LARSON

MONROE, WI
NPI1962801043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12668-24)
Enumeration Date2014-08-14
Last Update Date2014-08-14
Business Address
-- BENJAMIN LARSON DPT, PT
515 22ND AVE
MONROE, WI 53566-1569
Phone number: 608-324-1178
Mailing Address
-- BENJAMIN LARSON DPT, PT
312 MAPLE ST
LENA, IL 61048-9129
Phone number: