Individual
CAROLYN LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7 MERIAM DR, SAN RAFAEL, CA 94903-2826
(615) 604-5367
(415) 492-1925
Mailing address
14 KIENTZ LN, SAN ANSELMO, CA 94960-2163
(615) 604-5367
(415) 492-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036762
NY
225100000X
Physical Therapist
Primary
PT298393
CA
2251X0800X
Orthopedic Physical Therapist
0016119
CO
Other
Enumeration date
05/02/2014
Last updated
07/08/2025
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