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1568159630
TODD KRISTIAN LARSON
LOGAN, UT
NPI
1568159630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 119877-2401)
Enumeration Date
2023-04-19
Last Update Date
2023-07-13
Business Address
TODD KRISTIAN LARSON PT
258 S MAIN ST STE 210
LOGAN, UT 84321-5768
Phone number: 435-383-6120
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Mailing Address
TODD KRISTIAN LARSON PT
258 S MAIN ST STE 210
LOGAN, UT 84321-5768
Phone number: 435-383-6120
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