James A Lathrop, C-PED

NPI #1790983856 in Mattoon, Illinois

Provider Information

NPI Number
1790983856
Entity Type
Individual
Name
James A Lathrop, C-PED
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Credential
C-PED
Enumeration Date
Jul 10, 2007
Last Updated
Jul 10, 2007

Practice Location

Address
821 CHARLESTON AVE
ZIP Code
61938-4202
Phone
(217) 234-3811

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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