Individual
MARCY LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 830-6339
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
8635
TN
225100000X
Physical Therapist
Primary
8635
TN
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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