Individual
MR. ROBERT J LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT ATG
Contact information
Practice address
1551 S RENAISSANCE TWN DR, SUITE 420, BOUNTIFUL, UT 84010
(801) 295-8999
(801) 292-4168
Mailing address
1551 S RENAISSANCE TWN DR, SUITE 420, BOUNTIFUL, UT 84010
(801) 295-8999
(801) 292-4168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2780262401
UT
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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