NPI | 1427556554 |
---|---|
Other Name | RYSSE LARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13048) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |