Individual
ANN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1252 E SHARI ST, SAN TAN VALLEY, AZ 85140-5903
(949) 683-4150
Mailing address
1252 E SHARI ST, SAN TAN VALLEY, AZ 85140-5903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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