MRS. Loresa Latham

NPI #1659732394 in Moline, Illinois

Provider Information

NPI Number: 1659732394
Entity Type: Individual
Name: MRS. Loresa Latham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 8, 2016
Last Updated: Mar 8, 2016

Practice Location

Address: 221 11TH AVE
City: Moline
State: Illinois
ZIP Code: 61265-1498
Phone: (309) 757-7744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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