Individual
CHARLOTTE LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8631 RIO GRANDE BLVD NW APT C, LOS RANCHOS, NM 87114-1200
(505) 231-4131
Mailing address
PO BOX 56843, ALBUQUERQUE, NM 87187-6843
(505) 231-4131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0889
NM
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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