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1033190368
MATTHEW LUKE LARSON
FORT SAM HOUSTON, TX
NPI
1033190368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT017074)
Enumeration Date
2005-11-14
Last Update Date
2021-06-02
Business Address
MATTHEW LUKE LARSON MPT
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-295-4018
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Mailing Address
MATTHEW LUKE LARSON MPT
495 MATTHEW ST
UNIVERSAL CITY, TX 78148-4609
Phone number:
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