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Individual
VIRGINIA MORTARA LARSON
Active
Individual
VIRGINIA MORTARA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1908
OR
225100000X
Physical Therapist
Primary
PT00008174
WA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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