Provider Demographics
NPI:1376852269
Name:RAPP, LARRY JOSEPH JR (DPT)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:JOSEPH
Last Name:RAPP
Suffix:JR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1452 SONATA CT
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-7255
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:589 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:HURLBURT FIELD
Practice Address - State:FL
Practice Address - Zip Code:32544-5604
Practice Address - Country:US
Practice Address - Phone:850-881-4013
Practice Address - Fax:850-641-4327
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27696225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist