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Contact Information

IAN M LARSON, PT, DPT
4025 E CHANDLER BLVD STE 60
PHOENIX, AZ85048-8833
 Phone: 480-417-5271
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for IAN M LARSON · (Male)

NPI # 1467831073
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 05/28/2015
Last updated 11/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 11525
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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