Individual
DAVE SCOTT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
590 WAKARA WAY, SLC, UT 84108-1200
(801) 587-7005
Mailing address
9292 SUNRISE PARK DR, SANDY, UT 84093-2479
(801) 572-6463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
11/17/2021
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