Individual
KATHERINE DE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
1705 DESALES ST NW FL 6, WASHINGTON, DC 20036-4405
(026) 300-3782
Mailing address
501 12TH ST NE APT 32, WASHINGTON, DC 20002-6348
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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