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Paul Larson, ATC
NPI 1417181082 · on the registry since 2009 · sole proprietor
Practice
- Address
- 101 Brooklyn Street/Business Route 6
Carbondale, PA 18407 - Phone
- (570) 282-4500
- Fax
- (570) 281-7102
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania