Mary Jo Larson is a Physical Therapist in Hazen, North Dakota. Mary Jo Larson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary Jo Larson is 1821206475. The last update date is 2007-07-08.
Mary Jo Larson's current location address is 510 8th Ave Ne, Hazen, North Dakota. You can contact this provider via phone number 7017482225 and fax number 7017485757. The mailing address for Mary Jo Larson is 510 8th Ave Ne, Hazen, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Larson |
|---|---|
| Address | 510 8th Ave Ne, Hazen, North Dakota |
| Phone Number | 7017482225 |
| Fax Number | 7017485757 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821206475 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 510 8th Ave Ne |
|---|---|
| City | Hazen |
| State | North Dakota (ND) |
| Post Code | 585454637 |
| Phone Number | 7017482225 |
| Fax Number | 7017485757 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 235 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25572 | ND | BCBS NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Jo Larson?
The Mary Jo Larson has been issued the NPI (National Provider Identifier) 1821206475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mary Jo Larson?
The Mary Jo Larson is situated at 510 8Th Ave Ne, in the city of Hazen, state of ND, with the zip code 585454637.
What is the Mary Jo Larson's specialty and taxonomy code?
The Mary Jo Larson's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
When did the Mary Jo Larson receive its 1821206475?
The Mary Jo Larson was issued its 1821206475 on 2007-05-18, which is the date when the organization was assigned this unique identifier.
When was the Mary Jo Larson's information last updated?
The Mary Jo Larson's information was last updated on 2007-07-08.