Individual
LARA GARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 WALNUT ST, SUITE 1404, PHILADELPHIA, PA 19102-4017
(215) 972-0307
Mailing address
1420 WALNUT ST, SUITE 1404, PHILADELPHIA, PA 19102-4017
(215) 972-0307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011189
PA
111NR0400X
Rehabilitation Chiropractor
AJ010948
PA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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