Individual
LARA WEITHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
11632 VENTURA BLVD, STUDIO CITY, CA 91604-2637
(818) 971-9115
Mailing address
11632 VENTURA BLVD STE 203, STUDIO CITY, CA 91604-2637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25433​
CA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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