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Individual

KASSAUNDRA EVA LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
299 BRADLEY BLVD STE 101, RICHLAND, WA 99352-4691
(509) 713-7555
(509) 783-6151
Mailing address
2839 W KENNEWICK AVE # 550, KENNEWICK, WA 99336-2927
(509) 783-8977
(509) 783-6151

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161267978
WA

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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