Individual
MATTHEW LUKE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
9708 BELAIR RD, BALTIMORE, MD 21236-1108
(877) 407-3422
(877) 407-4329
Mailing address
495 MATTHEW ST, UNIVERSAL CITY, TX 78148-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017074
PA
Other
Enumeration date
11/14/2005
Last updated
04/23/2025
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