Individual
LATIFA KHOUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 FULTON ST, RAEFORD, NC 28376-1926
(910) 875-4280
Mailing address
26 ARLINGTON AVE APT 3, REVERE, MA 02151-5673
(617) 270-0425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14220
MA
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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