PHILLIP ERIK LARSON

SAN DIEGO, CA
NPI1467647750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT3876)
Enumeration Date2007-09-10
Last Update Date2007-09-10
Business Address
-- PHILLIP ERIK LARSON P.T. A.
13075 EVENING CREEK DR S
SAN DIEGO, CA 92128-8101
Phone number: 209-531-4613
Mailing Address
-- PHILLIP ERIK LARSON P.T. A.
8034 LINDA VISTA RD APT 1A
SAN DIEGO, CA 92111-5146
Phone number: 858-292-6251