Individual
CARA MARIE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
1467 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2653
(248) 658-2110
(248) 658-2111
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001764
MI
Other
Enumeration date
06/19/2018
Last updated
02/25/2025
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