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Individual
DR. MALORIE ANN LARSON
Active
Individual
DR. MALORIE ANN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60122259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260899
DEPARTMENT OF LABOR AND INDUSTRIES
WA
01
—
0368933
L & I
WA
01
—
0369225
L & I
WA
01
—
0991DO
REGENCE
WA
01
—
12036365
CAQH
WA
01
—
4518930
AETNA
WA
01
—
616182300
FEDERAL DEPARTMENT OF LABOR
WA
Enumeration date
12/23/2009
Last updated
04/24/2017
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