Individual
TAMIKA LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 SALEM TRAIL CT, WINSTON SALEM, NC 27105-3099
(336) 240-9642
Mailing address
145 SALEM TRAIL CT, WINSTON SALEM, NC 27105-3099
(336) 240-9642
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9308
NC
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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