Larson, Alexandra Renee
Larson, Alexandra Renee is an individual health care provider with primary practice located at 5156 Whipple Ave Nw , Canton OH 44718-2663. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Larson, Alexandra Renee can be contacted via phone (330) 478-1752.Contact Information
Primary practice address
5156 Whipple Ave Nw
Canton OH 44718-2663
Phone: (330) 478-1752
Fax: (330) 478-1763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT 013783 | Ohio |
Profile Details
| NPI number | 1730435777 |
|---|---|
| LBN Legal business name | Larson, Alexandra Renee |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2012 |
| Last updated | Jul 27th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730435777 | NPPES |
| Ohio | MEDICAID | 3055563 |
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