Individual
AMY LARSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4621 W PARK BLVD, # 102, PLANO, TX 75093
(972) 985-1776
(972) 985-6088
Mailing address
4233 NORTH CLIFF DRIVE, CARROLLTON, TX 75010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1152951
TX
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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