Individual
ALYSSA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
Mailing address
6418 21ST AVE NE, TACOMA, WA 98422-1306
(253) 736-5553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61591038
WA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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