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Individual

DR. MARCO NELSON LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1075 S IDAHO RD STE 210, APACHE JUNCTION, AZ 85119-6405
(480) 983-0877
(480) 983-3172
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26653
MA
225100000X
Physical Therapist
Primary
LPT-033894
AZ

Other

Enumeration date
04/04/2023
Last updated
11/19/2024
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