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Organization

WASHINGTON UNIVERSITY IN ST. LOUIS

Active
Other names
Athletic Therapy & Rehabilitation Departmen
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICK LARSEN L.A.T. (HEAD ATHLETIC TRAINER)
(314) 935-6461
Entity
Organization

Contact information

Practice address
1 BROOKINGS DR, CAMPUS BOX 1067, SAINT LOUIS, MO 63130-4862
(314) 935-6461
Mailing address
1 BROOKINGS DR, CAMPUS BOX 1067, SAINT LOUIS, MO 63130-4862
(314) 935-6461

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00062
MO

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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