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HANNAH LARSON

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1902279540

Individual Registrant:
 HANNAH  LARSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23500 US HIGHWAY 160  WALSENBURG, CO 81089-9524 US
Tel: 719-738-5100  Fax: --

Contact information for business:
23500 US HIGHWAY 160  WALSENBURG, CO 81089-9524 US
Tel: 719-738-5100  Fax: --

Registration Information:
NPI: 1902279540
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
COPTL.0013842

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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