RYAN LARSON

IDAHO FALLS, ID
NPI1871067363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-5873)
Enumeration Date2019-01-17
Last Update Date2019-01-25
Business Address
RYAN LARSON
3155 CHANNING WAY STE D
IDAHO FALLS, ID 83404-7875
Phone number: 208-552-2700
Mailing Address
RYAN LARSON
2035 CORTE DEL NOGAL STE 200
CARLSBAD, CA 92011-1445
Phone number: 800-929-4776
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