Ethan Larson

Physical therapist

St. Petersburg, United States

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Full name

Ethan Larson

Job Title

Physical Therapist

Location

Saint Petersburg

LIC ID

41504

Current License Expiration Date

30/11/2025

Original Date

04/08/2021

Professional Rank Code

Effective Date

04/08/2021

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

PINELLAS

Practice Location Address Line 1

10475 GANDY APT #3432

Practice Location Address City

SAINT PETERSBURG

Practice Location Address State

Practice Location Address Zipcode

33702

Prescribing Indicator

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