Individual
ERIK LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 1/2 CHARLOTTE ST, FREDERICKSBURG, VA 22401-5704
(703) 347-3234
Mailing address
624 1/2 CHARLOTTE ST, FREDERICKSBURG, VA 22401-5704
(703) 347-3234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019011635
VA
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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