BRIAN THERALD LARSEN

LOGAN, UT
NPI1205993961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist Orthopedic
(Licence: UT  352702-2401)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
BRIAN THERALD LARSEN PT
1300 N 500 E
LOGAN, UT 84341-2408
Phone number: 435-716-2880
Mailing Address
BRIAN THERALD LARSEN PT
1300 N 500 E
LOGAN, UT 84341-2408
Phone number: 435-716-2880
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