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Individual

CHARYSSE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
5605 W EUGIE AVE, GLENDALE, AZ 85304-1272
(602) 865-2534
Mailing address
2140 E ROSEMONTE DR, PHOENIX, AZ 85024-2463

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13048
AZ
2251P0200X
Pediatric Physical Therapist

Other

Enumeration date
01/23/2018
Last updated
01/23/2018
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