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1821170077
THOMAS ERIC LARSON
DAYTON, OH
NPI
1821170077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 2224)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Mr. THOMAS ERIC LARSON PTA
4100 W 3RD ST
DAYTON, OH 45428-9000
Phone number: 937-268-6511
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Mailing Address
Mr. THOMAS ERIC LARSON PTA
102 S MAPLE ST
GERMANTOWN, OH 45327-1219
Phone number: 937-855-2103
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