MS. Judy Delores Latendresse, PTA

NPI #1306901590 in Oak Ridge, Tennessee

Provider Information

NPI Number: 1306901590
Entity Type: Individual
Name: MS. Judy Delores Latendresse, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 300 LABORATORY RD
City: Oak Ridge
State: Tennessee
ZIP Code: 37830-6911
Phone: (865) 482-7698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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