LARA C JOHNSON

BOULDER, CO
NPI1881966430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  11568)
Enumeration Date2012-01-29
Last Update Date2012-01-29
Business Address
-- LARA C JOHNSON DPT
2995 BASELINE RD STE 100
BOULDER, CO 80303-2318
Phone number: 303-442-0355
Mailing Address
-- LARA C JOHNSON DPT
2333 WALNUT ST APT B
BOULDER, CO 80302-4725
Phone number: 970-381-8526