Latrisha Catrell Grant, LMT

NPI #1104297670 in Orlando, Florida

Provider Information

NPI Number: 1104297670
Entity Type: Individual
Name: Latrisha Catrell Grant, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Oct 9, 2015
Last Updated: Oct 9, 2015

Practice Location

Address: 6463 LIVEWOOD OAKS DR
City: Orlando
State: Florida
ZIP Code: 32818-2735
Phone: (407) 209-6344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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