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1144569625
THERESA LARSON
SAN DIEGO, CA
NPI
1144569625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 39650)
Enumeration Date
2013-02-04
Last Update Date
2015-07-29
Business Address
-- THERESA LARSON DPT, CSCS, SFMA
3027 OLIVE ST
SAN DIEGO, CA 92104-5002
Phone number: 877-854-1343
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Mailing Address
-- THERESA LARSON DPT, CSCS, SFMA
PO BOX 33080
SAN DIEGO, CA 92163-2080
Phone number: 877-854-1343
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