Individual
LARA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8120 E MARIA DR, SCOTTSDALE, AZ 85255-5412
(480) 652-9137
Mailing address
8120 E MARIA DR, SCOTTSDALE, AZ 85255-5412
(480) 652-9137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7881A
AZ
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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