Roger L Larson Rpt PC

NPI #1003060906 in Murray, Utah

Provider Information

NPI Number: 1003060906
Entity Type: Organization
Organization Name: Roger L Larson Rpt PC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 5, 2008
Last Updated: Feb 5, 2009

Practice Location

Address: 6040 FASHION BLVD
Address 2: STE. #200
City: Murray
State: Utah
ZIP Code: 84107-5417
Phone: (801) 266-7534

Authorized Official

Name: ROGER L LARSON, P.T.
Title: PRESIDENT/OWNER
Phone: (801) 266-7534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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