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Individual

MARC S LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1001 KAMOKILA BLVD, #114, KAPOLEI, HI 96707-2097
(808) 674-0500
(808) 674-0511
Mailing address
95-199 HOAHELE PLACE, MILILANI, HI 96789-5544
(808) 674-0500
(808) 674-0511

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
33089
CA
225100000X
Physical Therapist
Primary
PT5747
HI

Other

Enumeration date
04/12/2007
Last updated
03/29/2024
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