Individual
LEILA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21 VAUGHNS GAP RD, NASHVILLE, TN 37205-4330
(304) 952-1438
Mailing address
21 VAUGHNS GAP RD, NASHVILLE, TN 37205-4330
(304) 952-1438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6719
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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