Individual
JOCELYN LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8740 N KENDALL DR STE 115, MIAMI, FL 33176-2209
(305) 598-0229
Mailing address
8740 N KENDALL DR STE 115, MIAMI, FL 33176-2209
(305) 598-0229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT25116
FL
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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