RAFAEL A. LARA

FERNDALE, WA
NPI1730403973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00007560)
Enumeration Date2010-03-17
Last Update Date2016-06-17
Business Address
RAFAEL A. LARA P.T.
2529 CRESCENT ST
FERNDALE, WA 98248-9684
Phone number: 360-384-6285
Mailing Address
RAFAEL A. LARA P.T.
2529 CRESCENT ST
FERNDALE, WA 98248-9684
Phone number: 360-384-6285