Individual
HANNAH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23500 US HIGHWAY 160, WALSENBURG, CO 81089-9524
(719) 738-5100
Mailing address
23500 US HIGHWAY 160, WALSENBURG, CO 81089-9524
(719) 738-5100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013842
CO
Other
Enumeration date
11/04/2015
Last updated
05/21/2020
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