Individual
BRIAN LATTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 747-4004
Mailing address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 747-4004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60438304
WA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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