Individual
CHRISTINA MARIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1475 N GRANITE REEF RD, SCOTTSDALE, AZ 85257-3919
(480) 990-1904
Mailing address
1275 E LOCUST DR, CHANDLER, AZ 85286-2576
(480) 883-1629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8734A
AZ
Other
Enumeration date
03/06/2011
Last updated
03/06/2011
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