MS. Mary St. John Larson, LMT,CMTPT
NPI #1043346687 in Orange Park, Florida
Provider Information
- NPI Number
- 1043346687
- Entity Type
- Individual
- Name
- MS. Mary St. John Larson, LMT,CMTPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT,CMTPT
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Dec 5, 2013
Practice Location
- Address
- 2301 PARK AVE
- Address 2
- #209
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-5565
- Phone
- (904) 215-9923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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