KIMBERLY JEAN LARSEN

MERIDIAN, ID
NPI1811523145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA063)
Enumeration Date2020-03-18
Last Update Date2020-03-18
Business Address
KIMBERLY JEAN LARSEN PTA
3251 N SUMMERBROOK PL
MERIDIAN, ID 83646-5581
Phone number: 208-891-0490
Mailing Address
KIMBERLY JEAN LARSEN PTA
3251 N SUMMERBROOK PL
MERIDIAN, ID 83646-5581
Phone number: 208-891-0490
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