THERESA LARSON

SAN DIEGO, CA
NPI1144569625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 39650)
Enumeration Date2013-02-04
Last Update Date2015-07-29
Business Address
-- THERESA LARSON DPT, CSCS, SFMA
3027 OLIVE ST
SAN DIEGO, CA 92104-5002
Phone number: 877-854-1343
Mailing Address
-- THERESA LARSON DPT, CSCS, SFMA
PO BOX 33080
SAN DIEGO, CA 92163-2080
Phone number: 877-854-1343