COLLIN LARSON

BOISE, ID
NPI1023738986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-8186)
Enumeration Date2022-08-31
Last Update Date2022-08-31
Business Address
COLLIN LARSON
3040 N FIVE MILE RD
BOISE, ID 83713-5234
Phone number: 208-939-0533
Mailing Address
COLLIN LARSON
12072 W MCMILLAN RD
BOISE, ID 83713-2462
Phone number: 208-939-0533
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