Individual
JOHN ROCCO BORROMEO DE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
252 TYLER CHRISTIAN DR, HOUMA, LA 70360-8927
(985) 209-2511
Mailing address
252 TYLER CHRISTIAN DR, HOUMA, LA 70360-8927
(985) 209-2511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02594F
LA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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