Individual
SANDRA K LARSON
Active
Individual
SANDRA K LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
03565
IA
2251P0200X
Pediatric Physical Therapist
03565
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34900
BLUE CROSS BLUE SHEILD
IA
01
—
F245962
MIDLANDS CHOICE
IA
01
—
TN0100
JOHN DEERE
IA
Enumeration date
06/05/2006
Last updated
09/11/2025
Update your record
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