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Individual

CHRISTIAN EDUARDO LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA26488

Contact information

Practice address
700 SE 8TH AVE, CRYSTAL RIVER, FL 34429-4855
(352) 795-8832
Mailing address
2859 W ALEUTS DR, BEVERLY HILLS, FL 34465-3019
(352) 364-7258

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26488
FL

Other

Enumeration date
08/12/2016
Last updated
08/12/2016
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