Individual
ROCKY RACHON LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34179 N PICKET POST DR, QUEEN CREEK, AZ 85142-6649
(480) 710-8500
Mailing address
34179 N PICKET POST DR, QUEEN CREEK, AZ 85142-6649
(480) 710-8500
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12497
AZ
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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