Christian Eduardo Lara, PTA26488
NPI #1679027130 in Crystal River, Florida
Provider Information
- NPI Number
- 1679027130
- Entity Type
- Individual
- Name
- Christian Eduardo Lara, PTA26488
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA26488
- Enumeration Date
- Aug 12, 2016
- Last Updated
- Aug 12, 2016
Practice Location
- Address
- 700 SE 8TH AVE
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4855
- Phone
- (352) 795-8832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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