Individual
LATISHA DENISE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3016 LONGTOWN COMMONS DR STE 305, COLUMBIA, SC 29229-7864
(803) 314-0529
(803) 314-0543
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3998
SC
Other
Enumeration date
09/04/2012
Last updated
01/15/2024
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