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Larissa Tank

Physical Therapist in Leander, TX. Individual provider (NPI-1).

NPI number1629639745
StatusActive
Last updated in NPPESAug 30, 2025

Details

NPI
1629639745
Entity type
Individual (NPI-1)
Name
Larissa Tank
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2019
Certification date
Aug 30, 2025
Last updated
Aug 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

2082 Us 183 Ste 175
Leander, TX 78641-1789

Phone 737-757-0838

Mailing address

1100 Circle 75 Pkwy Se Ste 1400
Atlanta, GA 30339-3067

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