Charlotte Latham, PTA

NPI #1013343219 in Los Ranchos, New Mexico

Provider Information

NPI Number: 1013343219
Entity Type: Individual
Name: Charlotte Latham, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 19, 2013
Last Updated: Sep 19, 2013

Practice Location

Address: 8631 RIO GRANDE BLVD NW APT C
City: Los Ranchos
State: New Mexico
ZIP Code: 87114-1200
Phone: (505) 231-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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