Ronald Kenneth Larsen, PT | |
2087 Grand Canal Blvd, Suite 17, Stockton, CA 95207-6651 | |
(209) 473-1138 | |
(209) 473-1891 |
Full Name | Ronald Kenneth Larsen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 52 Years |
Location | 2087 Grand Canal Blvd, Stockton, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851489033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6677 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Larsen Dunnicliff Physical Therapy Inc | 4284794512 | 2 |
Provider Name | Larsen Dunnicliff Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1093840407 PECOS PAC ID: 4284794512 Enrollment ID: O20081117000626 |
Mailing Address | Practice Location Address |
---|---|
Ronald Kenneth Larsen, PT 2087 Grand Canal Blvd, Suite 17, Stockton, CA 95207-6651 Ph: (209) 473-1138 | Ronald Kenneth Larsen, PT 2087 Grand Canal Blvd, Suite 17, Stockton, CA 95207-6651 Ph: (209) 473-1138 |
Brian James Barrett, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1716 W Hammer Ln, Stockton, CA 95209 Phone: 209-473-2383 Fax: 209-473-1350 | |
Mrs. Karey Robinson Harty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 W. Eight Mile Road, Stockton, CA 95207 Phone: 209-712-3592 | |
Lauren Paul, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2339 W Hammer Ln Ste K, Stockton, CA 95209 Phone: 209-623-2500 Fax: 209-222-6182 | |
Dr. Hung John Nguyen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2339 W Hammer Ln Ste K, Stockton, CA 95209 Phone: 209-623-2500 | |
David Gillette, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4343 Pacific Ave Ste B1, Stockton, CA 95207 Phone: 209-425-4071 Fax: 209-451-5687 | |
Michele Elisabeth Carlson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5910 Pacific Ave, Stockton, CA 95207 Phone: 209-475-1000 | |
Emily Rose Acton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4343 Pacific Ave Ste B1, Stockton, CA 95207 Phone: 209-425-4071 Fax: 209-451-5687 |