Individual
LARA E BETZ
Active
Individual
LARA E BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700068640A
—
GA
05
—
700068640H
—
GA
01
—
P00359215
RR MEDICARE
GA
Enumeration date
06/22/2005
Last updated
01/02/2024
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