Susan Latta, OT

NPI #1063549921 in Galesburg, Illinois

Provider Information

NPI Number
1063549921
Entity Type
Individual
Name
Susan Latta, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Feb 27, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
872 W DAYTON ST
ZIP Code
61401-1503
Phone
(309) 344-3400

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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