Peter Larson, | |
211 E Mill Street, Pelican Rapids, MN 56572-4234 | |
(218) 863-1140 | |
Not Available |
Full Name | Peter Larson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 211 E Mill Street, Pelican Rapids, Minnesota |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487763314 | NPI | - | NPPES |
6812 | Other | MN | LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehabplus And Fitness | 4789772054 | 3 |
Provider Name | Rehabplus And Fitness |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679766802 PECOS PAC ID: 4789772054 Enrollment ID: O20071120000459 |
Mailing Address | Practice Location Address |
---|---|
Peter Larson, 3608 Kennedy St S, Fargo, ND 58104-6416 Ph: (701) 235-7860 | Peter Larson, 211 E Mill Street, Pelican Rapids, MN 56572-4234 Ph: (218) 863-1140 |
Jacob Mark Januszewski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 N Broadway, Pelican Rapids, MN 56572 Phone: 218-863-2000 | |
Craig Haugrud, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 211 E Mill St, Pelican Rapids, MN 56572 Phone: 218-863-1140 | |
Ms. Marilyn Kay Welke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E. Mill St., Pelican Rapids, MN 56572 Phone: 218-863-1140 Fax: 218-863-2530 |