| 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 |