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Organization
LARSON REHAB, PLLC
Active
Organization
LARSON REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MARIE LARSON PT (OWNER/ADMIN)
(956) 563-9762
Entity
Organization
Contact information
Practice address
4208 SANTA OLIVIA, MISSION, TX 78572-8636
(956) 563-9762
(956) 271-4317
Mailing address
4208 SANTA OLIVIA, MISSION, TX 78572-8636
(956) 563-9762
(956) 271-4317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1160910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206798502
—
TX
Enumeration date
11/14/2011
Last updated
11/14/2011
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