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Individual
MOIRA MCCOLLAM-LARSON
Active
Individual
MOIRA MCCOLLAM-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
130953
IA
Other
Enumeration date
07/25/2026
Last updated
07/25/2026
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