IndividualActive
Larissa Neal
NPI 1053579250 · Geriatric Physical Therapist · Park City, UT
Provider details
- NPI number
- 1053579250
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2305204903 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1640 Redstone Center Dr
200
Park City, UT 84098-7605
Phone: (888) 800-8744
Approximate (ZIP-level) locationGet directions
Mailing address
44863 Milestone Sq
Ashburn, VA 20147-4203
Registry dates
- Enumerated
- 2008-05-26
- Last updated
- 2008-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.