Individual
JORDAN ALBRIGHT LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., O.C.S.
Contact information
Practice address
1105 E FOSTER RD STE B, SANTA MARIA, CA 93455-6400
(805) 934-0663
(805) 934-0663
Mailing address
247 SANTA FE AVE, PISMO BEACH, CA 93449-1948
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 21537
CA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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