Individual
LISA MICHAELENE LATOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 COON RD, WYOMING, PA 18644-6043
(570) 237-7045
Mailing address
859 COON RD, WYOMING, PA 18644-6043
(570) 237-7045
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC002875L
PA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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