Individual
LATISHA DENISE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
130 FORUM DR STE 13, COLUMBIA, SC 29229-7943
(803) 509-6880
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(972) 850-3940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3998
SC
Other
Enumeration date
09/04/2012
Last updated
05/19/2026
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