Individual ProviderEllen Renee LarkinPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6341 University Ave NE, Fridley, MN 55432-4946(763) 586-5844PECOS EnrollmentBased on the most recent information from CMS, provider Ellen Renee Larkin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184225898Provider TypeIndividualFull NameLarkin, Ellen ReneeCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date11/8/2020Last Updated8/25/2022Contact InformationPractice LocationPractice Address6341 University Ave NE, Fridley, MN 55432-4946Phone(763) 586-5844FaxUnlisted FaxMailing LocationMailing Address6341 University Ave NE, Fridley, MN 55432-4946Phone(763) 586-5844FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11828Minnesota