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Individual
DR. RYAN R LARSON
Active
Individual
DR. RYAN R LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004189
IA
225100000X
Physical Therapist
Primary
PT60428438
WA
Other
Enumeration date
12/09/2008
Last updated
03/21/2014
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