Doctor Name: | RAFAEL A. LARA |
NPI Number: | 1730403973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT00007560 |
Business Practice Address: | 2905 Connelly Ave Bellingham, WA - 982258225 |
Business Phone Number: | 3607344181 |
Business Fax Number: | 3607340225 |
Mailing Address: | 2529 Crescent St, FERNDALE |
State: | WA |
Postal Code: | 982489684 |
Phone Number: | 3603846285 |
Fax Number: | 3609330581 |
NPI Enumeration Date: | 03/17/2010 |
NPI Last Update Date: | 03/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00007560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |