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Organization
ROGER L LARSON RPT PC
Active
Organization
ROGER L LARSON RPT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L LARSON P.T. (PRESIDENT/OWNER)
(801) 266-7534
Entity
Organization
Contact information
Practice address
6040 FASHION BLVD, STE. #200, MURRAY, UT 84107-5417
(801) 266-7534
(801) 266-7547
Mailing address
6040 FASHION BLVD, STE. #200, MURRAY, UT 84107-5417
(801) 266-7534
(801) 266-7547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105692-2401
UT
Other
Enumeration date
11/05/2008
Last updated
02/05/2009
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