Individual
STEFANY CAROLINA REYES LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
Mailing address
219 FOX HAVEN DR, SOMERSET, KY 42501-3187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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