Individual
MRS. LARA V CARBALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2739 UPPER PARK RD, ORLANDO, FL 32814-6148
(407) 443-9696
(407) 754-2624
Mailing address
2739 UPPER PARK RD, ORLANDO, FL 32814-6148
(407) 443-9696
(407) 754-2624
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT13675
FL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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