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Individual

DR. IAN MICHAEL LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4025 E CHANDLER BLVD STE 60, PHOENIX, AZ 85048-8833
(480) 417-5271
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
11525
AZ
2251N0400X
Neurology Physical Therapist
11525
AZ
2251X0800X
Orthopedic Physical Therapist
Primary
11525
AZ

Other

Enumeration date
05/28/2015
Last updated
11/21/2024
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