Individual
LARA JEAN MCMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4500 E CHERRY CREEK SOUTH DR, GLENDALE, CO 80246-1518
(303) 432-8487
Mailing address
1119 N FRANKLIN ST, COLORADO SPRINGS, CO 80903-2552
(715) 214-8565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014805
CO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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