Individual
MRS. CANDY LYNN LARSON-SOETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8858
(636) 239-8870
Mailing address
3610 SUNNY RD, WASHINGTON, MO 63090-5956
(636) 390-8367
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02105
MO
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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