CHRISTIAN EDUARDO LARA

CRYSTAL RIVER, FL
NPI1679027130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  26488)
Enumeration Date2016-08-12
Last Update Date2016-08-12
Business Address
-- CHRISTIAN EDUARDO LARA PTA26488
700 SE 8TH AVE
CRYSTAL RIVER, FL 34429-4855
Phone number: 352-795-8832
Mailing Address
-- CHRISTIAN EDUARDO LARA PTA26488
2859 W ALEUTS DR
BEVERLY HILLS, FL 34465-3019
Phone number: 352-364-7258