Katherine Larson, | |
255 Grapevine Rd, Wenham, MA 01984-1813 | |
(978) 867-4095 | |
Not Available |
Full Name | Katherine Larson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 255 Grapevine Rd, Wenham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902275332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251N0400X | Physical Therapist - Neurology | 30643 (Florida) | Secondary |
225100000X | Physical Therapist | 22348 (Massachusetts) | Primary |
Provider Name | Gordon College |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831375278 PECOS PAC ID: 6800955600 Enrollment ID: O20081108000059 |
Mailing Address | Practice Location Address |
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Katherine Larson, 255 Grapevine Rd, Wenham, MA 01984-1813 Ph: () - | Katherine Larson, 255 Grapevine Rd, Wenham, MA 01984-1813 Ph: (978) 867-4095 |
Heather Lewis, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 255 Grapevine Rd, Wenham, MA 01984 Phone: 978-867-4095 | |
Marie Lucey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 255 Grapevine Rd, Wenham, MA 01984 Phone: 978-867-4095 Fax: 978-867-4680 | |
David De Baere, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 255 Grapevine Rd, Wenham, MA 01984 Phone: 978-867-4095 | |
Emily Aw Righter, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 255 Grapevine Rd, Wenham, MA 01984 Phone: 978-867-4095 Fax: 978-867-4680 | |
Carolyn Cwalinski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Grapevine Rd, Wenham, MA 01984 Phone: 978-867-4095 | |
Stacy Pineda, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 255 Grapevine Rd, Wenham, MA 01984 Phone: 978-867-4095 | |
Mckenzie Garvey Distefano, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 255 Grapevine Rd, Wenham, MA 01984 Phone: 978-867-4095 |