Individual
RUTHANN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14557 W INDIAN SCHOOL ROAD, 500B, GOODYEAR, AZ 85395
(623) 242-6908
(623) 242-6909
Mailing address
14557 W INDIAN SCHOOL ROAD, 500B, GOODYEAR, AZ 85395
(623) 242-6908
(623) 242-6909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
AZ2561
AZ
225100000X
Physical Therapist
Primary
LPT-013715
AZ
Other
Enumeration date
03/16/2009
Last updated
07/27/2020
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